Discussion issues of surgical treatment of patients with acute complications of malignant stomach tumors

Abstract

The purpose of the work is solution the main issues of surgical treatment of patients with acute complications of gastric malignancies. The object of the study were 766 patients with acute complications of malignant tumors of the stomach, who were treated at the Kyiv City Center for Patients with Gastrointestinal Bleeding for the period from 2006 to 2020. Among patients, 754 (98,4%) were treated for malignant gastric tumors complicated by bleeding, 12 (1,6%) were treated for perforated tumors. A total of 361 of 766 patients underwent surgery in the two study periods, with a total operative activity of 47%. Radical surgical interventions in the first period were urgently performed 40 (51,9%), in the second period - 12 (15,6%), non-radical in the first period - 37 (48,1%), in the second - 10 (13,0%). Thus, the frequency of emergency operations was reduced by almost 2 times, and surgical interventions in the early period (almost 80%) increased the proportion of radical operations to 70,7% with lymph node dissection in the amount of D2 by all oncological standards in 72,0% of cases.