FIELD: medicine, oncosurgery.
SUBSTANCE: one should mobilize the abdomen to carry out radical lymphodissection D2 followed by subtotal distal gastric resection. Moreover, additionally, at the stage of gastric mobilization it is necessary to cross gastro-diaphragmatic ligament to open gastric bottom and short gastric arteries. Then one should conduct lymphodissection of left-hand paracardiac lymph nodes. The innovation decreases the risk for the development of locoregional metastases by not increasing the number of early postoperational complications and not deteriorating the circulation of gastric stump.
EFFECT: higher efficiency of therapy.
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