a subtotal proximal resection of a stomach at a cancer.
Despite proof depression of indicators of a case rate by a carcinoma of the stomach as a whole, population researches show proof augmentation of frequency of tumours of proximal localisation and is esophageal-gastric transition.
In the USA, frequency of an adenocarcinoma of proximal department of a stomach and a distal third of esophagus is enlarged so intensively, as any other malignant disease [128; 134]The majority of researchers characterise a cancer of proximal department of a stomach with diffusion on an esophagus as a tumour highly malignant, inclined to fast growth with transition of infiltration to an esophagus and a high index of a lymphogenous innidiation in lymph nodes both an abdominal cavity, and a mediastinum. At the moment of surgical treatment lymphogenous metastasises are taped in 80 % of observations [127; 128].
Researches have shown, that the most significant factors of the forecast now is the metastatic lesion of lymph nodes in a combination to character of executed intervention R0 [33; 127; 128]. And if performance of radical intervention R0 at a cardia cancer allows to reach 5-year-old survival rate of 41,4 %, ostavlenie even microscopical residual tumour R1 (cells or complexes of cells in the area of a resection) does not allow to hope for a favorable outcome of treatment: all patients perish in first two years. The experience saved up in the world allows to notice, that for today a choice method in treatment of a cancer of proximal department of a stomach remains surgical [33; 44; 75].
According to materials of National Oncologic Institute (Tokyo, Japan) [112], the proximal subtotal resection of a stomach can be executed only at patients at the small sizes of a tumour (to 4 sm in the greatest measurement), localised in proximal department without diffusion on the top third of body of a stomach.
It is necessary to mention difference in views on rational volume of an operative measure at an early carcinoma of the stomach. At an early cancer of the top third of stomach a number of authors consider a subtotal proximal resection onkologicheski as adequate operation [18; 20]. Their opponents, for the purpose of volume augmentation limfodissektsii or for improvement of functional results, rutinno carry out a gastrectomy [19; 38].
Also there is an opinion, that a subtotal proximal resection of a stomach and a resection nizhnegrudnogo department of an esophagus from transhiatalnogo access probably to carry out at an early cancer of cardial department of a stomach and exophytic forms of a cancer of cardial department of a stomach. After a subtotal proximal resection of a stomach with a resection nizhnegrudnogo department of an esophagus from transhiatalnogo access 2 and 3 summer survival rate, by results of a number of researches, was the best [69]. So high indicators of the remote survival rate are bound by that carried out the given kind of an operative measure at patients with early stages of disease [69; 74].
1.3.
More on topic a subtotal proximal resection of a stomach at a cancer.:
- a subtotal distal resection of a stomach at a cancer.
- Surgical treatment of relapse of a carcinoma of the stomach after a proximal resection.
- CHAPTER 1. A stomach resection in surgical treatment of a cancer and a role of molekuljarno-genetic research in the forecast of development of relapse of a carcinoma of the stomach.
- Chapter 4: Research of molekuljarno-genetic markers in not changed mucous stumps of a stomach at the patients operated concerning a cancer in volume of a resection.
- the Analysis of survival rate of the patients who have transferred various kinds of a resection of a stomach concerning a cancer.
- Surgical treatment of relapse of a carcinoma of the stomach after a distal resection.
- Relapse of a cancer in the area of a tumour resection.
- Ha a cancer gern stika autopsinnyh samples of proximal department of a femur.
- Chapter 3. Results of surgical treatment of the patients who have transferred resections of a stomach concerning a cancer.
- Chekunova Natalia Valerevna. MOLEKULJARNO-GENETIC DIAGNOSTICS CHANGE of the MUCOUS STUMP of the STOMACH At the PATIENTS OPERATED CONCERNING the CANCER. The dissertation on competition of a scientific degree of the candidate of medical sciences. Moscow -,
- Relapse out of a line of a resection of a tumour.
- CHAPTER 1. The CARCINOMA OF THE STOMACH - the MODERN CONDITION of the PROBLEM And the ROLE of MOLEKULJARNO-GENETIC FACTORS In IMPROVEMENT of RESULTS of TREATMENT of the CARCINOMA OF THE STOMACH
- main principles of the combined treatment mestnorasprostranennogo a carcinoma of the stomach
- the characteristic of volume of an operative measure on a stomach
- Tactics of treatment of patients at detection of tumoral cells in the area of a resection.
- a X-ray inspection autopsnnnyh samples of proximal department of a hip [2].
- the relation to a resection kontralateralnoj a mammary gland.
- relapse of a carcinoma of the stomach.
- 2.13. Experimental definition of the area of contact of a leg of an endoprosthesis «SFEN TS» with proximal department of a femur *.
- Presence of a transurethral resection of a prostate in the anamnesis