Bozzetti F, Bonfanti G, Regalia E, Andreola S, Doci R, La Malfa G, Gennari L
Department of Surgical Oncology A, Università di Milano, Italy.
Eur J Surg Oncol. 1992 Oct;18(5):481-3.
In order to assess whether the gastric wall undergoes some change in length during gastrectomy operation for cancer, we measured the variation in length of the anterior gastric wall in 25 patients. The first measurement was made at the beginning of laparotomy by placing two stitches on the anterior gastric wall and registering the distance between them. A second and a third measurement were recorded when the stomach was fully isolated just before its transection and subsequently on the anatomic table. The results indicate that the usual recommendations made by pathologists to maintain a 6 cm margin of tissue clearance proximally to the cephalic edge of the tumour, can be safely followed by the surgeons who can correctly assess, during operation, the distance between tumour and the desirable line of transection since no misleading reduction in size of the resected specimen takes place.
为了评估胃癌胃切除术过程中胃壁长度是否发生变化，我们测量了25例患者胃前壁长度的变化。第一次测量是在剖腹手术开始时，在胃前壁放置两根缝线并记录它们之间的距离。第二次和第三次测量分别在胃完全游离即将切断之前以及随后在解剖台上进行记录。结果表明，病理学家通常建议在肿瘤头侧边缘近端保持6厘米的组织切缘，外科医生在手术过程中能够正确评估肿瘤与理想切断线之间的距离，就可以安全地遵循这一建议，因为切除标本的大小不会出现误导性的减小。
