Surgery for gastric cancer in patients with coronary heart disease (clinical cases)
- 作者: Komarov R.1, Novikov S.1, Osminin S.1, Bilyalov I.1, Ryabov K.1, Zavaruev A.1, Baziyants L.1, Astaeva M.1
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隶属关系:
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
- 期: 卷 26, 编号 6 (2021)
- 页面: 213-224
- 栏目: Case Reports
- URL: https://journals.rcsi.science/1028-9984/article/view/111771
- DOI: https://doi.org/10.17816/onco111771
- ID: 111771
如何引用文章
详细
The importance of a multidisciplinary approach in the surgical treatment of patients with severe combined oncological and cardiovascular pathologies is shown. In modern surgery, there is a place for both simultaneous and staged surgical treatment of this category of patients, which should be determined in each specific clinical case and requires an individual multidisciplinary approach with the inclusion in the discussion of such specialists as an oncosurgeon, a chemotherapist, a radiation therapist, a cardiologist/therapist, cardiovascular surgeon, anesthesiologist and resuscitator.
Two clinical cases of a two-stage and one-stage surgical approach in the treatment of patients with competing gastric cancer and coronary heart disease are presented. One 47-year-old patient underwent two-stage surgical treatment: stage 1 – aortocoronary bypass grafting from mini-thoracotomy (MICS CABG); stage 2 – robot-assisted distal subtotal resection of the stomach (Balfour modification) with D2 lymphadenectomy, formation of intracorporeal gastroenteroanastomosis and interintestinal anastomosis according to Brown. Another 74-year-old patient underwent a one-stage surgical intervention: autovenous coronary artery bypass grafting of the anterior interventricular artery, posterior descending coronary artery on a beating heart, without cardiopulmonary bypass + extended-combined gastrectomy with resection of the distal esophagus, resection of the diaphragm, and D2+ lymphadenectomy. The postoperative period proceeded without complications.
作者简介
Roman Komarov
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: komarovroman@rambler.ru
ORCID iD: 0000-0002-3904-6415
SPIN 代码: 7770-8417
Doct. Sci. (Med.), professor
俄罗斯联邦, MoscowSergey Novikov
I.M. Sechenov First Moscow State Medical University (Sechenov University)
编辑信件的主要联系方式.
Email: dr.ssnovikov@gmail.com
ORCID iD: 0000-0001-9101-9484
assistant lecturer
俄罗斯联邦, MoscowSergey Osminin
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: dr.osminin@gmail.com
ORCID iD: 0000-0002-9950-6575
SPIN 代码: 7106-2710
Cand. Sci. (Med.), associate professor
俄罗斯联邦, MoscowIldar Bilyalov
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: bilyalov_i_r@staff.sechenov.ru
ORCID iD: 0000-0002-8956-1765
assistant lecturer
俄罗斯联邦, MoscowKonstantin Ryabov
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: konstantin.ryabov@list.ru
ORCID iD: 0000-0001-6891-4667
Cand. Sci. (Med.), assistant lecturer
俄罗斯联邦, MoscowArtyom Zavaruev
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: zavdoc@mail.ru
ORCID iD: 0000-0002-2906-0440
assistant lecturer
俄罗斯联邦, MoscowLusine Baziyants
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: lusine.baziyants.00@mail.ru
ORCID iD: 0000-0003-4757-0388
student
俄罗斯联邦, MoscowMarina Astaeva
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: mastaeva@gmail.com
ORCID iD: 0000-0002-7719-7898
PhD student
俄罗斯联邦, Moscow参考
- Gerasimov SS, Davydov MI, Davydov MM. Up-to-date strategy for surgical treatment of cancer patients with severe concomitant cardiovascular diseases. Russian Journal of Oncology. 2018;23(3-6):120–128. (In Russ). doi: 10.18821/1028-9984-2018-23-3-6-120-128
- Davydov MI, Akchurin RS, Gerasimov SS, et al. Simultaneous surgery of competing cardio-vascular and malignant diseases of lungs and mediastinum. Khirurgiya. Zurnal im. N.I. Pirogova (Pirogov Russian Journal of Surgery). 2010;(8):4–10. (In Russ.).
- Zhang W, Liu B, Zhou Y, et al. Combined surgical treatment of esophageal cancer and coronary heart diseases in elderly patients. World J Surg Oncol. 2018;16(1):213. doi: 10.1186/s12957-018-1512-5
- Cantarella F, Graziosi L, Cavazzoni E, et al. Simultaneous surgery for obstructive coronary artery disease and ulcerated gastric cancer. J Surg Case Rep. 2011;2011(12):3. doi: 10.1093/jscr/2011.12.3
- Shaikh I, Dedhia B, Sangle M, et al. Simultaneous radical gastrectomy and coronary artery bypass grafting: a case report. Indian J Surg. 2015;77(Suppl 1):159–161. doi: 10.1007/s12262-015-1222-y
- Golbrah VA, Maskin SS, Matiukhin VV. Modern approaches to simultaneous operations (indications, execution algorithms, complications). Journal of Volgograd State Medical University. 2021;(2):28–36. doi: 10.19163/1994-9480-2021-2(78)-28-36
- Komarov RN, Car’kov PV, Osminin SV, Ismailbaev AM. Odnomomentnoe hirurgicheskoe lechenie bol’’nyh rakom zheludochno-kishechnogo trakta I tjazhelymi serdechno-sosudistymi zabolevanijami. Zlokachestvennye opuholi. 2021;11(3s1):62. (In Russ.).
- Komarov R, Osminin S, Ismailbaev A, et al. The first case of simultaneous surgical procedure for mitral valve disease and esophageal cancer. Case Rep Oncol. 2021;14:1665–1670. (In Russ.). doi: 10.1159/000519827
- Belov JuV, Komarov RN. Odnomomentnye serdechno-sosudistye i onkologicheskie operacii: kogda, komu i kak? Moscow: “MIA”; 2012. 192 p. (In Russ.).
- Ochsner JL, Cooley DA, De Bakey ME. Associated intra-abdominal lesions encountered during resection of aortic aneurysms: surgical considerations. Dis Colon Rectum. 1960;3:485–490. doi: 10.1007/BF02616448
- Szilagyi DE, Elliott JP, Berguer R. Coincidental malignancy and abdominal aortic aneurism. Arch Surg. 1967;95(3):402–412. doi: 10.1001/archsurg.1967.01330150078012
- Dalton ML Jr, Parker TM, Mistrot JJ, Bricker DL. Concomitant coronary artery bypass and major noncardiac surgery. J Thorac Cardiovasc Surg. 1978;75(4):621–624.
- Chizhikov AV, Stefanov SA, Grigor’ev PA, Hadieva ED. Opyt sochetannyh operacij v onkologii i kardiohirurgii. Zdravoohranenie Jugry: opyt i innovacii. 2016;(S):58–61. (In Russ.).
- Belov IuV, Parshin VD, Komarov RN. Combined vascular resections in surgical treatment for locally advanced lung cancer. Russian Journal of Cardiology and Cardiovascular Surgery. 2010;3(5):42–45. (In Russ.).
- Leshenko I.G., Aleksandrov I.K., Kaplan B.I., et al. Minimally invasive simultaneous operations in elderly patients with chronic calculous bulletin of pirogov national medical & surgical center. Bulletin of Pirogov National Medical & Surgical Center. 2014;9(4):23–27. (In Russ.).
- Nepogodiev D, Martin J, Biccard B, et al. Global burden of postoperative death. Lancet. 2019. 393(10170):401. doi: 10.1016/S0140-6736(18)33139-8
- Zabolotskikh IB, Trembach NV. High perioperative risk patients: two approaches to stratification. Vestnik intensivnoj terapii imeni A.I. Saltanova. 2019;4:34–46. (In Russ). doi: 10.21320/1818-474X-2019-4-34-46
- Makino Y, Ishida K, Kishi K, et al. The association between surgical complications and the POSSUM score in head and neck reconstruction: a retrospective single-center study. J Plast Surg Hand Surg. 2018;52(3):153–157. doi: 10.1080/2000656X.2017.1372288
- Le Manach Y, Collins G, Rodseth R, et al. Preoperative score to predict postoperative mortality (POSPOM): derivation and validation. Anesthesiology. 2016;124(3): 570–579. doi: 10.1097/ALN.0000000000000972