METHOD FOR INTEGRATED TREATMENT OF STOMACH CANCER IN GROWTH IN THE BODY OF THE PANCREAS Russian patent published in 2021 - IPC A61B17/00 A61B17/11 A61P35/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to oncology and surgery. After the completion of neoadjuvant chemoradiation therapy, a midline laparotomy is performed. Allocate the right gastroepiploic vessels, ligate them separately, cross and remove the lymph nodes of the sixth group. The right gastric artery is isolated at the base, ligated, transected and removed from the fifth group lymph nodes. The duodenum is transected 1 cm distal to the pylorus. The stump of the duodenum is peritonized with a purse-string suture and splen-sparing corpocaudal resection of the pancreas is performed while preserving the splenic vein. The left gastric vessels are isolated at the base, they are ligated separately, the lymph nodes of the 7th, 8th, 9th and 11th groups are crossed and removed. The stomach is resected at the level of the lower pole of the spleen. The drug is removed in a single block. A posterior colic gastroenteroanastomosis is formed on a Roux loop, additionally covered with a number of serous-muscular sutures, and an interintestinal anastomosis is formed with a single-row suture.

EFFECT: method allows to increase the resectability of locally and regionally advanced gastric cancer and radicalism of surgical intervention, to implement the principles of organ-preserving treatment, to reduce the number of postoperative complications, to improve the quality of life of patients and to increase the survival rate, the method is reproducible, well tolerated by patients and safe.

1 cl, 2 dwg, 1 ex