Tactic aspects of surgical interventions in case of locally advanced cancer of proximal stomach
The results of 201 follow-ups of locally advanced cancer of proximal stomach allowed identifying dissemination of true tumours in 49 cases, 7 of which were organ-related ones. In 1/3 of cases the dissemination of oncological process in clinic was estimated adequately, and the surgical interventions performed as combined resections, were expedient. The combined operations performed on 22 patients (17.9 %) were estimated as absolutely unfounded because those patients had had tumour dissemination of the muscular layer of the stomach wall, only. The spleen, pancreas, liver and a bit rare diaphragm and mesocolon were most often operated for because of suspensions about ingrowth or true involvement of neighbouring organs in the tumour process. The histological structure and extent of tumour differentiation were of practical importance to determine probability of its invading into the neighbouring anatomical structures.