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Komarov R.N.

Sechenov First Moscow State Medical University

Novikov S.S.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Osminin S.V.

Sechenov First Moscow State Medical University

Tlisov B.M.

Sechenov First Moscow State Medical University

Astaeva M.O.

Sechenov First Moscow State Medical University

Baziyants L.R.

Sechenov First Moscow State Medical University

Double-tract reconstruction after gastrectomy for gastric cancer in patients with concomitant cardiovascular diseases

Authors:

Komarov R.N., Novikov S.S., Osminin S.V., Tlisov B.M., Astaeva M.O., Baziyants L.R.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(6): 58‑69

DOI: 10.17116/hirurgia202406158

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To cite this article:

Komarov RN, Novikov SS, Osminin SV, Tlisov BM, Astaeva MO, Baziyants LR. Double-tract reconstruction after gastrectomy for gastric cancer in patients with concomitant cardiovascular diseases. Pirogov Russian Journal of Surgery. 2024;(6):58‑69. (In Russ.)
https://doi.org/10.17116/hirurgia202406158

Подписка 2025 (Pirogov Russian Journal of Surgery)
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OBJECTIVE

To demonstrate the capabilities and advantages of double-tract reconstruction after gastrectomy for gastric cancer and simultaneous approach in surgical treatment of patients with cardiovascular diseases and gastric cancer.

MATERIAL AND METHODS

We present two cases of double-tract reconstruction after gastrectomy and the gastric stump extirpation as a part of simultaneous surgical approach to patients with gastric cancer and cardiovascular diseases. A 62-year-old patient underwent simultaneous gastrectomy with double-tract reconstruction (for the first time In Russia) and aortofemoral replacement. A 61-year-old patient underwent simultaneous coronary artery bypass surgery, gastric stump extirpation with esophagogastrostomy and double-tract reconstruction.

RESULTS

In 1 case, postoperative period was complicated by subcompensated stenosis of the right ureter due to hematoma near the right common iliac artery. This event required endoscopic stenting of the right ureter with positive effect. Both patients were discharged in 16 and 23 days after surgery.

CONCLUSION

This method may be alternative to modern reconstructions. Currently, digestive tract reconstruction after gastrectomy is still important and requires further study. Simultaneous procedures in patients with cancer and cardiovascular disease became more widespread. To objectify our statements, further research is needed.

Keywords:

stomach cancer
double-tract reconstruction
gastrectomy
gastric stump extirpation
aneurysm
arterial replacement
coronary artery disease
coronary artery bypass grafting

Authors:

Komarov R.N.

Sechenov First Moscow State Medical University

Novikov S.S.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Osminin S.V.

Sechenov First Moscow State Medical University

Tlisov B.M.

Sechenov First Moscow State Medical University

Astaeva M.O.

Sechenov First Moscow State Medical University

Baziyants L.R.

Sechenov First Moscow State Medical University

Received:

12.08.2023

Accepted:

17.11.2023

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