[25-year experience with surgical treatment of stomach cancer]

Based on an analysis of the surgical treatment of 4107 patients with gastric cancer the author discusses indications for different radical operations, specific features of the method of gastrectomy used in 1090 out of 1649 patients subjected to radical operations. Better immediate results of gastrectomies were obtained due to the improvement of the operation technique, preoperative and postoperative management of the patients. The average postoperative lethality was 11%, that in the recent years being not higher than 9,4%. The long-term results of the surgical treatment of gastric cancer still remain not satisfactory.