Hergastroplasty in combined gastrectomy

The question of the scope of surgical intervention in common forms of stomach cancer remains complex, controversial and unresolved. There is a lively discussion in the literature between specialists who adhere to extreme points of view. As the methods of preoperative preparation, anesthesia, surgical techniques and postoperative management of patients with gastric cancer are improved, combined gastrectomies are increasingly used. According to V. N. Sagaidak (1969), in inoperable stomach cancers, true tumor ingrowth into distant neighboring organs was found only in 50% of patients. According to Nicolosi (1971), extended radical intervention is justified in gastric cancer complicated by ascites, peritoneal dissemination, jaundice, liver metastases, Krukenberg tumor, cancer ingrowth into the colon and into the anterior abdominal wall. The life of such patients can be prolonged, according to the author, risky, "crippling" operations.