The results of gastric cancer radical surgical treatment
The analysis of the long-term results of treatment of 1065 radically operated gastric cancer patients was carried out. The effect of various risk factors on survival was assessed. As risk factors for adverse outcomes the sex, age, depth of invasion of the gastric wall, the number of metastatic lymph node, lymph node dissection (D1 or D2), and the operation`s type (standard or combined) performed were evaluated. It was established that the prevalent type of gastric cancer progression after radical surgical treatment is a peritoneal dissemination. This type of gastric cancer progression occurs at any prevalence of the tumor process and occurs both after standard radical and combined operations in combination with D2 dissection, which leads to the need for a differentiated approach in developing methods for predicting and preventingof peritoneal dissemination after radical surgical treatment of disease.