Prevention of bronchopulmonary complications after gastrectomy for gastric cancer
Objective: to study the causes and methods of preventing bronchopulmonary complications after gastrectomy for gastric cancer.Materials and methods: the results of applying the developed three-level scheme for the prevention of bronchopulmonary complications in patients with gastric cancer after gastrectomy were studied. Thanks to the use of the developed treatment regimen, out of 1435 patients who underwent gastrectomy for a 20-year period of time, pneumonia developed in only 1.3 ± 0.3% of cases.Results: postoperative complications were noted in 159 (11.1 ± 0.8) patients, who had 222 different complications. Purulent-septic complications occurred most often, while anastomotic failure occurred in only 19 (1.3 ± 0.3%) patients. Postoperative pneumonia occurred in 19 (1.3 ± 0.3%), amounting to 8.6 ± 1.9% in the structure of complications after surgery. Pleurisy occurred in 10 (0.7 ± 0.2%) patients, amounting to 4.5 ± 1.4% in the structure of postoperative complications.Conclusions: the developed method for the prevention of bronchopulmonary complications is recommended to use in patients after gastrectomy