Abstract:
The survival of patients with the locally advanced stage of stomach cancer
(SC), who underwent various variants of preventive lymphatic nodes
dissection, was considered. The survival of patients was compared with the
stage and T, N indexes. Lymphadenectomy D2 were effective and increased
cumulative survival in patient`s group T4aNoMo, stage IIB and T4aN1Mo,
stage III A, and in groups of patients where D2 lymphadenectomy were
ineffective - T4bNoMo, stage ІІІB, T4bN1Мo, stage ІІІB and T4aN2Мo,
stage IIIB. D2 were more efficient operation in the case of tumor serosa
invasion and invasion to the peritoneal cavity (SE) in the absence of multiple
metastases to the regional lymph nodes (N1 according to the 7th revision of
the classification - 1-2 metastatic lymph nodes), and when
the tumor infiltrated the surrounding organs (SI) and the presence of multiple
regional metastases, D2 lymphodissection did not gave positive results,
comparising with D1.
