Can the Principles of Oncological Surgery be Complied with in Haemorrhagic Gastric Cancer
X. Pucheanu, M. BeuranOriginal article, no. 2, 2015
Aim: To discover if in the case of bleeding gastric cancer theprinciples of oncological surgery could be applied to gastriccancer.Methods: We studied two groups of patients, one with haemorrhagicgastric cancer and the second with uncomplicatedgastric cancer. We took into account gender, age, number ofdays from admission to surgery, tumour location, type of intervention,haemoglobin on admission, haemorrhage externalizationpathway, comorbidities, intervention type, extension oflymphadenectomy, stage, tumour type degree of differentiationthereof, number of excised lymph nodes, perineural andvascular invasion, preoperative transfusion, postoperativecomplications, deaths.Results: The rate of postoperative complications is higher forpatients in group 1 who presented upper gastrointestinalbleeding, an increase in the number of days of hospitalizationand care, with a higher risk of surgical re-intervention and ahigher mortality for these patients.Conclusions: in the case of haemorrhagic gastric cancer surgery,we can apply the principles of malignant stomach cancersurgery, but with a higher rate of postoperative complications,more hospitalization days and higher mortality.
