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Ultima descărcare din IBN: 2023-04-27 17:06 |
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616.33-006.6-089 (3) |
Заболевания пищеварительной системы. Болезнь пищеварительного тракта (1746) |
SM ISO690:2012 RAEVSCHI, Maria, GHIDIRIM, Nicolae, ANTOCI, Lilian. Double tract reconstruction by gastric resections, indications, and benefits. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 299. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.33-006.6-089 | ||||||
Pag. 299-299 | ||||||
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Background. Cancer is a major cause of premature death worldwide; the surgery remains the main treatment. Proximal gastrectomy is a method of surgical treatment that is often associated with frequent symptoms of reflux and anastomotic strictures, so DTR is a procedure devoid of these postoperative complications. Objective of the study. Implement a new method of proximal gastrectomy with doubletract reconstruction for proximal gastric cancer (CGP) and evaluate the safety and long-term surgical outcomes. Material and Methods. Retrospective review of prospective data of 10 patients who presented to IMSP IO from December 2021 to June 2022 and underwent DTR volume surgery for CGP. Data from this prospective cohort were analyzed and reflux symptoms, clinico-pathological features, surgical outcomes, postoperative morbidity and mortality, and subsequent outcomes were analyzed. Results. The average surgical time was 280 min; estimated average blood loss - 2000.4 ml; average length of the proximal resection edge, -4.13 cm; average number of enlarged lymph nodes in volume 4-5 groups (most often groups I, II, VII, VIII), average postoperative hospitalization, 20 days. The rate of early complications was 15.6% (n = 4); the major complication (anastomosis insufficiency and development the fistula) occurred in two patients (7.3%). The rate of late complications was 7.3% (n = 2), managed by medication during the average follow-up period of 5 months; for 2 patients the postoperative period passed with a positive evolution, without particularities. Conclusion. DTR is a feasible, simple and new surgical method of reconstruction, with excellent postoperative results in terms which preventing reflux symptoms and restoring gastrointestinal transit. Its clinical applicability must be validated by prospective randomized trials. |
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Cuvinte-cheie double tract reconstruction, proximal gastric cancer, proximal gastrectomy, reconstrucție double tract, cancer gastric proximal, gastrectomie proximală |
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