[Total gastrectomy and systematic lymphadenectomy complications]

Surgical treatment of stomach carcinoma by its specificity and takes the important place in oncological surgery. Incidence is in rise and every year about 250.000 new patients are registered. Identifying the sympotoms of disease, early diagnostics and surgical treatment improve the prognosis and results of treatment. Radical total gastrectomy (R0) and systematic lymphadenectomy (D2) represent a standard in surgical treatment of resectible stomach tumor. As for the lymphadenectomy, number of complications of surgical treatment is considerably getting higher. The objective of the paper is to show the frequency and variety of complications, the way of their treatment and results. 58 patients underwent radical total gastrectomy with lymphadenectomy in period of four years in our clinic. Sex ration is 2 : 1 in favour of men. Average age is 41.8 +/- 10.2 years. The most present abdominal complication is dehiscence of esophagojejunal anastomse 19.0% and of extraabdominal complication it is the deep vein thrombose 6.8%. Reconstruction of gastrointestinal continuity by method of Roux is the most present 55.2%. In early postoperative course 4.6% reoperations were made. Average duration of operation is 185 +/- 8.6 min. There has not been intraoperative morality. Postoperative moratily for 30 days is 10.3%, for 90 days 6.8%. Postoperative mortality and morbidity, number and different postoperative complications are statistically much higher in patients with systematic D2 and D3 lymphadenectomy (p < 0.05).