[Remote results of the surgical treatment of early stomach cancer].
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Biomedical subjects
Publications and source records attributed to V V Utkin.
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An analysis of 78 patients with postresection reflux-gastritis after resection of the stomach for ulcer disease of the stomach and duodenum is presented. Of special significance for diagnosis is fiber gastroscopy with aimed biopsy. The conservative treatment was used in 74 patients, little effect was obtained in 19 of them. Four patients were operated on with V-shaped anastomosis after Roux. Results of the operations were good.
The results of radical surgery for rectal cancer performed in 223 cases are presented. Preoperative angiographic examination of the vascular system of terminal part of the large bowel (lower selective pneumopharmacomesentericography) contributed to the selection of optimal surgical procedure in 30 cases. Mortality rate following radical surgery ranged 3.6--14.5% depending on a procedure used and patient's age. Early postoperative complications occurred in 53.4% depending on the type of surgery. Five-year survival was registered in 57.1%. Survival time appeared to be a function of tumor stage, site and the extent of invasion into the rectal wall.
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On the basis of an analysis of the surgical treatment of 325 patients with hiatal hernias the authors consider Nissen fundoplication to be the operation of choice in such cases. The operation was performed in 277 patients. Postoperative lethality was 1,2%. Good remote results were obtained in 88% of the patients. Recurrent hernias were noted in 1,8% of cases.
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