Gastric cancer z. Tinte-moleculare - Rezultate 3
Source: Acta Medica Transilvanica.
Tip I Siewert: adenocarcinom esofagian inferior de multe ori asociat cu esofag Barrettcu centrul tumoral situat în interiorul a 1 cm pana la 5 cm deasupra jonctiunii EG anatomice. Tip III Siewert: carcinom subcardial cu centrul tumorii între 2 și 5 cm mai jos de jonctiunea EG, care infiltrează jonctiunea EG și esofagului inferior dinspre inferior. În unele cazuri rezecția esofagiena suplimentara poate fi necesara pentru a obține margini adecvate. Deciziile de tratament ar trebui să fie făcută cu o echipă multidisciplinară și se bazează pe următoarele: -stadiul bolii -daca pacientul este apt pentru interventia chirurgicala -preferinta pacientului -comorbiditățile pacientului Stadiul 0- IA Rezectia mucoasei endoscopic sau intervenția chirurgicala este tratamentul primar pentru cancerul gastric stadiu incipient.
Abstract: We conducted a retrospective study on patients from a single surgeon's experience with the aim to analyze the different types of gastric resection performed for both benign and malignant diseases of the upper gastrointestinal tract and to compare the different reconstructive techniques using the Roux-en-Y loop and their postoperative complications and mortality.
The restoration of the duodenal passage had no negative influence on the postoperative results, while the multivisceral resections, the splenectomy and the palliative resections for gastric carcinoma increased papilloma virus meaning mean hospital stay and were associated with a higher incidence of complications and mortality.
The gastric resection with Roux-en-Y reconstruction is an operation which can be performed in a various range of diseases of the upper gastrointestinal tract, the gastric cancer being nowadays its main indication.
Because of the lower rate of postoperative complications, the subtotal gastrectomy is preferred over the total gastrectomy.
The splenectomy in the cases of gastric cancers is only required when there are metastatic lymph nodes in the splenic hilum. The restoration of the duodenal passage is a feasible alternative method of reconstruction after gastrectomy.
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