Abstract:
Over a period of 2007-2011 188 stomach cancer (SC) patients have been
included in the research in abdominal oncosurgical department of Odessa
oncological center. Volume of lymph node dissections differed by quantity of
lymph nodes to be removed. All patients were divided into three groups.
Patients with D1 or D1+ lymph node dissections have been performed, totally
90 patients are included in group of historical control. In all cases so-called
lymph node dissections for principal reasons have been executed. The
multifactorial analysis of patients survival is implemented depending on a type
of a lymph node dissections, a stage of the cancer, number of involved lymph
nodes, involvement of the tumoral microcirculatory net (ly is carried out, v)
signs of a perinevral invasion (Nev), availability of residual tumoral tissue (R),
degree of a differentiation (G). Regardless of a disease stage, SC at 60 % of
patients, represented with initially hematologicaly disseminated disease. 40 %
of SC`s had no signs of intratumoral microcirculatory net involvement even in
case of more than 15 regional lymph nodes are involved.
