Us V G, Miliaev M M, Zaikina I D, Kuznetsov S S, Gazazian B R
Khirurgiia (Mosk). 1992 Feb(2):17-20.
Resection of the stomach was carried out in 299 patients (in 151 for gastric ulcer and in 148 for duodenal ulcer). The method for restoring the continuity of the gastrointestinal tract after gastric resection was individualized according to the location of the ulcer, the patient's age, the character of complications of peptic ulcer, the topographoanatomical conditions in the zone of the operation, and the motility and acid-producing activity of the stomach. The indications and contraindications for various types of gastrointestinal anastomoses are discussed. Direct gastroduodenal anastomosis is considered the operation of choice, if it cannot be established a terminolateral gastroduodenal anastomosis is formed. One patient died after the operation.
对299例患者实施了胃切除术(其中151例因胃溃疡,148例因十二指肠溃疡)。胃切除术后恢复胃肠道连续性的方法根据溃疡位置、患者年龄、消化性溃疡并发症特点、手术区域的局部解剖条件以及胃的蠕动和产酸活性进行个体化选择。讨论了各种类型胃肠吻合术的适应证和禁忌证。如果无法进行端端胃十二指肠吻合术,则考虑行端侧胃十二指肠吻合术,直接胃十二指肠吻合术被视为首选术式。1例患者术后死亡。