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Roman I.D.,Oncological Dispensary of Leningrad Region | Karpenko A.V.,Oncological Dispensary of Leningrad Region | Chumanikhina N.S.,Oncological Dispensary of Leningrad Region | Sibgatullin R.R.,Oncological Dispensary of Leningrad Region | Jalilov D.N.,Oncological Dispensary of Leningrad Region
Voprosy Onkologii | Year: 2010

Our paper deals with evaluation of the results of using distal pectoralis major myocutaneous flap (38) in 37 patients; bilateral dissection of tissue - 1. Plastic reconstruction of surgical effects of the oral cavity and pharynx was performed in 27 (skin cancer - 8, parotid salivary gland tumor - 1). Flap was used to both shield the parotid artery and prevent erosive bleeding following radical cervical dissection, urgent plastic surgery - 30, postponed - 8. Complication, chiefly slight was reported in 60.5% and treated conservatively. Total necrosis was identified in 2 (5.3%), partial - 4 (10.8%), salivary fistula - 10 out of 27 reconstructions of the upper intestinal tract (18.4%), cervical suture failure - 7 (18.4%), flap avulsion from wound edges - 6 (15.8%), wound edge avulsion - 2 (5.3%). Nasogastric probe for feeding was used for approx. 23.7 days. Feeding per os after the first operation was restored in 23 (85.2%). Repeat reconstruction using pectoralis major myocutaneous flap has proved effective in patients with surgical effects of head and neck. Source


Karachun A.M.,Oncological Dispensary of Leningrad Region | Sinenchenko G.I.,Oncological Dispensary of Leningrad Region | Roman L.D.,Oncological Dispensary of Leningrad Region | Samsonov D.V.,Oncological Dispensary of Leningrad Region | And 2 more authors.
Voprosy Onkologii | Year: 2011

Locally-advanced gastric cancer features predominance of prognostically unfavorable histological patterns (infiltrative growth - in 87.9%, tumor grades III-IV - 69.5%). Tumor invasion into two adjacent organs or more frequently occurs in totally-involved stomach (65.2±9.7%), poorly-differentiated (grade III) tumors (44.9±4.5%) under-differentiated ones (grade IV) (45.9±8.2%). Invasion into one adjacent organ is significantly predominant (p≤0.05) in tumor localized in the upper third of the stomach (66.2±5.4%); exophytic tumor growth (Borrmann I) (100%) and well- differentiated (grade I) - (66.7±21.3%). Source

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