Open AccessThe ways to improve the results of the pylorus-preserving gastric resection
Author(s) -
В. В. Грубнік,
R. P. Nikitenko,
Anton Kvasha,
В. В. Міщенко,
N. D. Parfentieva
Publication year - 2021
Publication title -
klìnìčna hìrurgìâ/klìnìčna hìrurgìâ
Language(s) - English
Resource type - Journals
eISSN - 2522-1396
pISSN - 0023-2130
DOI - 10.26779/2522-1396.2021.5-6.03
Subject(s) - pylorus , medicine , dissection (medical) , resection , surgery , sphincter , stomach
Objective. To enhance the results efficacy of the pylorus-preserving gastric resection.
Materials and methods. Retrospective estimation of results of the pylorus-preserving gastric resection was conducted while various operative procedures application in 64 patients, ageing 34-75 yrs old. The average age of the patients was (52.5 ± 6.2) yrs old.
Results. The patients were divided into two Groups. In Group I (n = 36) the pylorus-preserving gastric resection was performed in accordance to conventional procedure - without identification of infrapyloric arteries and veins as well as vagal branches, innervating pyloric sphincter. In Group II (n = 28) accurate dissection was performed, using special optic technique for preservation of all vascular structures, going to pylorus.
Conclusion. The pylorus-preserving gastric resection owes several advantages, because it prevents the postgastrectomy syndrome development.