Kostenko O. Surgical tactics in patients with acute complications of malignant stomach tumors

The dissertation is devoted to the solution of the actual scientific task of improving the results of treatment of patients with acute complications of malignant tumors of the stomach, by developing and implementing in practice the algorithm of surgical tactics in the conditions of providing emergency care. Complications of malignant gastric tumors are an extremely serious problem in emergency abdominal surgery. Thus, according to the World Health Organization, malignant neoplasms of the stomach occupy the fourth place in the structure of oncological morbidity and the second place, after lung cancer, in the structure of oncological mortality in the world. Malignant neoplasms of the stomach are the cause of almost every sixth death in the world. The most common complications of malignant gastric tumors are bleeding, stenosis and perforation (World Health Organization. Cancer, Fact Sheet 2023) [191]. According to the data of Kyiv city center for providing assistance to patients with gastrointestinal bleeding (2023), the part of patients with malignant stomach tumors complicated by bleeding is 6.7%. There is not enough scientific literature devoted to this topic, and the information contained in it is contradictory. From a practical point of view, the relevance of this problem lies in the lack of a clearly defined algorithm of surgical tactics for providing care to this category of patients, the lack of clear criteria for indications and deadlines for surgical interventions, which leads to a high level of development of postoperative complications and postoperative mortality, and the number of complications of malignant formations stomach does not have a tendency to decrease, but on the contrary, it has been growing rapidly in recent years. This work aims is to improve the results of treatment of patients with acute complications of malignant stomach tumors by the development, scientific substantiation and introduction into clinical practice of the algorithm of surgical tactics in the conditions of providing emergency care.