Abstract

AGUIRRE FERNANDEZ, Roberto Eduardo; DE LA LLERA DOMINGUEZ, Gerardo; PENON GUERRA, Maria  and  ALVAREZ PEREZ, Álvaro. Application of the standard lymphadenectomy in gastric adenocarinoma. Rev Cubana Cir [online]. 2011, vol.50, n.4, pp. 500-508. ISSN 0034-7493.

Objective: to report the results of the application of the standard lymphadenectomy in cases of gastric adenocarcinoma admitted in the "Celia Sánchez Manduley" Clinical Surgical University Hospital of Manzanillo, Granma province. Methods: the 5-years postoperative survival of 132 patients operated on due to gastric adenocarcinoma that underwent lymphadenectomy of the two first ganglionic levels. The results of the epidemiological parameters were determined and the survival by Kaplan-Meier method was defined. Results: the respiratory infections, anemia and wound sepsis were the more frequent complications, but the mechanical intestinal occlusion had a significance related to mortality. Survival was higher to all reports obtained in Cuba and better than some internationals. Conclusions: the use of standard lymphadenectomy in cases of gastric adenocarcinoma is an essential element to establish and to improve the prognosis in these patients.

Keywords : gastric neoplasm; surgery; prognosis; complications; classification.