Journal of Clinical Practice · Published 2026-06-26 · DOI 10.17816/clinpract701970
Ruslan Yu. Khlobystin, Vladimir S. Lavrenyuk, Stanislav I. Petrushko
The objective of this article is to present an author’s perspective on the relationship between the extent of planned surgical interventions for gastric diseases and the frequency and severity of perioperative complications. The analysis is based on an analytical systematization of contemporary Russian and international literature. The article also substantiates the need for a unified classification of surgical techniques according to the level of operative morbidity. A broad body of contemporary publications on gastric surgery was analyzed. The literature addressed the extent of operative procedures and the structure of perioperative complications. The analyzed sources included clinical studies, national and international registries, systematic reviews, meta-analyses, as well as international and national clinical guidelines reflecting current surgical practice. The analysis demonstrates that a stepwise increase in the extent of gastric resection is associated with higher operative morbidity. This is accompanied by an increased risk of perioperative complications, including severe complications (Clavien–Dindo ≥IIIB). The absence of a standardized system for stratifying gastric surgical procedures according to operative trauma limits risk prediction and the comparability of outcomes. The proposed four-level classification of surgical interventions (I–IV with sublevels IVA and IVB), based on objective criteria including the extent of resection, involvement of adjacent anatomical structures, and complexity of the reconstructive stage, enables systematic stratification of procedures according to the degree of surgical trauma and may be applied for perioperative risk assessment, optimization of surgical planning, and analysis of treatment outcomes and results.
Abstract from DOAJ. Public domain (CC0 1.0).
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Khlobystin, R., Lavrenyuk, V., Petrushko, S. (2026). STRATIFICATION OF OPERATION VOLUMES IN SURGICAL TREATMENT OF STOMACH PATHOLOGY AS A RISK FACTOR FOR PERIOPERATIVE COMPLICATIONS. Journal of Clinical Practice. https://doi.org/10.17816/clinpract701970