[PROGNOSTIC SIGNIFICANCE OF METASTATIC AFFECTION OF REGIONAL LYMPHATIC NODES AND LEVEL OF A LYMPH NODE DISSECTION IN SURGICAL TREATMENT OF GASTRIC CANCER].

In 142 patients, operated on for resectable gastric cancer, a dependence of the survival indices from clinico-morphological characteristics of tumoral process and peculiarities of surgical interventions was studied. Efficacy of a lymph node dissection (LND) on a D1 -D2 level was investigated. There was established, that regional lymph nodes affection in gastric carcinoma causes deterioration of indices of general and disease-free survival. In patients without regional metastases the operation conduction with LND D1 have promoted improvement of indices of general and a disease-free survival, and expansion of a LND up to the D2 level did not guarantee the treatment results improvement.