Schemmle K, Korom S, Burkhardt E A
Klinik für Allgemein- und Thoraxchirurgie, Giessen.
Langenbecks Arch Chir Suppl Kongressbd. 1992:123-7.
Aboral gastric resections for gastric cancer are performed in 20%-40% of cases at German university hospitals. This type of resection can only be carried out if an ample oral safety margin is given. The margin should be at least 10 cm in the case of diffuse carcinoma, and no less than 6 cm in intestinal-type carcinoma. Thus, aboral subtotal resection is confined to smaller tumors, preferably those located in the antrum of the stomach. Lymph node dissection can and should be carried out in the case of subtotal resection. Aboral subtotal resection represents an adequate form of treatment, complying with the necessary oncological standards if the appropriate safety margin is chosen.
在德国大学医院，20% - 40%的胃癌病例会进行胃远侧切除术。只有在保证足够的胃近侧安全切缘时，才能进行这种类型的切除术。对于弥漫性癌，切缘应至少为10厘米；对于肠型癌，切缘不少于6厘米。因此，胃远侧次全切除术仅限于较小的肿瘤，最好是位于胃窦部的肿瘤。在次全切除的情况下，可以且应该进行淋巴结清扫。如果选择了合适的安全切缘，胃远侧次全切除术是一种符合必要肿瘤学标准的充分治疗方式。
