RESUMO
Data of the frequency of profuse gastric bleeding occurrence as the complication of gastric cancer are presented. Considering that endoscopic hemostatic procedures are ineffective in cancer bleedings, urgent radical surgery is indicated. Results of treatment of 10 patients with acute gastric tumor bleeding are analyzed. Authors emphasize that local invasion should not be the contraindication for the radical tumor resection.
Assuntos
Adenocarcinoma/complicações , Adenocarcinoma/cirurgia , Gastrectomia , Gastroenterostomia , Hemorragia Gastrointestinal/etiologia , Hemorragia Gastrointestinal/cirurgia , Neoplasias Gástricas/complicações , Neoplasias Gástricas/cirurgia , Doença Aguda , Adenocarcinoma/patologia , Adulto , Idoso , Serviço Hospitalar de Emergência , Feminino , Humanos , Linfoma de Células T/complicações , Linfoma de Células T/patologia , Linfoma de Células T/cirurgia , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Estômago/patologia , Neoplasias Gástricas/patologiaRESUMO
The two years (2004--2006) experience of gastric cancer surgical treatment is analized and summarized. 137 had gastrectomy, 73 patients had a combined operation because of the extent of the disease. Overall morbidity rate was 19.7%, leathality--4,4%. Though, lethality in the group of radically operated patients was 0,9%, whereas for those, who could have only palliative surgery, it totaled 25%. It is established, that performing a Gilyarovitch esophagoenteroanastomosis allows to avoid its failure. Gastrectomy with a phrenic segment esophagus resection is not a contraindication for the Gilyarovitch esophagoenteroanastomosis. The method of small intestine mesentery extension is described. It allows to perform a loop anastomosis at the level of phrenic and retropericardial esophageal segments. Indications for Roux esophagoenteroanastomosis are worked out.
Assuntos
Esôfago/cirurgia , Gastrectomia/métodos , Intestino Delgado/cirurgia , Neoplasias Gástricas/cirurgia , Adulto , Idoso , Anastomose Cirúrgica/métodos , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Resultado do TratamentoRESUMO
Results of surgical treatment of 345 patients (210 men--61%; 135 women--39%) over 70 years with non-small-cell lung cancer were analyzed. Central lung cancer was diagnosed in 141 (40.9%), peripheral--in 204 (59.1%) patients. Squamous cell cancer was seen in 233 (67.3%), glandular--in 67 (19.4%), dimorphic--in 22 (6.5%), large-cell--in 23 (6.8%) patients. Stage I of the disease was diagnosed in 121 (35.1%); stage II--in 49 (14.1%); stage III--in 175 (50.8%) patients. Rate of postoperative complications in the study group was 27.8%, lethality--6.4%. The highest lethality was after combined pneumonectomy. The most frequent postoperative complications were pneumonia (7.5%), arrhythmia (10.1%), pulmonary-heart insufficiency (4.9%). Five-year survival after radical surgery in patients over 70 years with lung cancer was 49%, in patients with stage I of the disease this parameter was the highest--71.4%.
