SAGITTAL GASTROPLASTY WITH LYMPH NODE DISSECTION OF D2 LEVEL AS AN OPTION FOR RECONSTRUCTION AFTER GASTRECTOMY IN GASTRIC CANCER PATIENTS

Gastric cancer is one of the leading positions in the structure of morbidity and mortality from oncological diseases. By frequency, this localization occupies the fifth place in the structure of cancer pathology, considering that most patients have an advanced cancer prognosis is usually pessimistic. One of the main factors influencing long-term results of surgical treatment of the stomach is the radicalism of surgical intervention, as well as a technique that allows satisfactory functional results to be achieved. The need for lymphatic dissection is proved by a large number of studies and is an indispensable stage of surgery in this pathology. The aim of the study was to analyze the results of gas-trectomy with sagittal gastroplasty and lymph node dissection at D2 level in patients with gastric cancer. For the period from 2013 to 2017, in the surgical de-partment No. 1 of the “KOD "DOR" 416 gastrectomy with lymph node dissection D2 for the gastric cancerwere performed. Depending on how the surgery was performed, the patients were divided into two groups. Thus, the group I consisted of 304 (73.1%) patients with formation of esophago-jejunoanastomosis by G.V. Bondar. Group II - 112 (26.9%) patients whoafter gastrectomy underwent sagittal gastroplasty. There were no significant differences in the age and gender composition of the studied groups (p> 0.05). An evaluation of the results of surgical interventions and survival of this category of patients in the long term was carried out. A longer stay of patients did not accompany perfor-mance of the sagittal gastroplasty in the postoperative period. In patients of Group II, the duration of surgery was on average 11.8% higher, but it was not accompanied by a longer presence of patients in the Department of Anesthesiology and Reanimation. Performance of the sagittal gastroplasty led to a significantly higher amount of food that patients took once in the first 30 days in the postoperative period, with a tendency to increase the rates for every day after the intervention. One- and five-year survival after performed gastrectomy according to the method of G.V. Bondar accounted for 88.5% and 52.0%, with gastrectomy with sagittal gastroplasty, respectively 89.0% and 52.3%. Thus, implementation of gastrectomy with sagittal gastroplasty significantly improves the quality of life and at the same time, for immediate and distant results, practically no difference from the standard gastrectomy by G.V. Bondar.