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Ruchkin D.V.

Vishnevsky National Medical Research Center of Surgery

Khamidov M.M.

Vishnevsky National Medical Research Center of Surgery

Kozlov V.A.

Vishnevsky National Medical Research Center of Surgery

Okonskaya D.E.

Vishnevsky National Medical Research Center of Surgery

Karimova Sh.Kh.

Vishnevsky National Medical Research Center of Surgery

Rymar O.A.

Vishnevsky National Medical Research Center of Surgery

Middle segmental gastrectomy for stomach cancer

Authors:

Ruchkin D.V., Khamidov M.M., Kozlov V.A., Okonskaya D.E., Karimova Sh.Kh., Rymar O.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(12): 7‑13

DOI: 10.17116/hirurgia20251217

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Table of contents

MIDDLE SEGMENTAL GASTRECTOMY FOR STOMACH CANCER
MIDDLE SEGMENTAL GASTRECTOMY FOR STOMACH CANCER

To cite this article:

Ruchkin DV, Khamidov MM, Kozlov VA, Okonskaya DE, Karimova ShKh, Rymar OA. Middle segmental gastrectomy for stomach cancer. Pirogov Russian Journal of Surgery. 2025;(12):7‑13. (In Russ.)
https://doi.org/10.17116/hirurgia20251217

 
Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE. T

O improve functional outcomes after surgical treatment of T1—2 gastric cancer.

MATERIAL AND METHODS

The study included 11 patients (5 males, 6 females; mean age 73±8.6 years) with T1-2N0M0 gastric cancer who underwent middle segmental gastrectomy with D2 lymphadenectomy. Selection criteria included tumor localization in gastric body, resection margins ≥6 cm, confirmed by intraoperative endoscopy. Proximal and distal gastric stumps were formed with anti-reflux fundoplication cuff. Quality of life (QoL) was assessed using EORTC QLQ-C30 and STO22 questionnaires.

RESULTS

No postoperative complications or mortality were observed. Mean surgery time was 220.4±54.4 min, blood loss — 390±186.8 ml. All resections were radical (R0). In long-term period (24.2±17.5 months), recurrence occurred in 1 patient (T3N0M0). Reflux esophagitis was absent; mild dumping syndrome was detected in 1 patient. QoL scores after surgery (functional scale — 92.7; symptom scale — 23.8) surpassed those after gastrectomy, pylorus-preserving, and distal subtotal resections.

CONCLUSION

Middle segmental gastrectomy demonstrates oncological adequacy and functional benefits (sphincter preservation, reduced reflux, and dumping syndrome). Further studies are required to confirm long-term outcomes.

Keywords:

middle segmental gastrectomy
gastric cancer
early gastric cancer
oncological adequacy
postoperative quality of life

Authors:

Ruchkin D.V.

Vishnevsky National Medical Research Center of Surgery

Khamidov M.M.

Vishnevsky National Medical Research Center of Surgery

Kozlov V.A.

Vishnevsky National Medical Research Center of Surgery

Okonskaya D.E.

Vishnevsky National Medical Research Center of Surgery

Karimova Sh.Kh.

Vishnevsky National Medical Research Center of Surgery

Rymar O.A.

Vishnevsky National Medical Research Center of Surgery

Received:

20.03.2025

Accepted:

08.04.2025

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