Martinelli V, Piermattei A, Fidanza F, Merli L, Egidi A, Angelici A
IV Clinica Chirurgica, Università degli Studi di Roma, La Sapienza.
Minerva Chir. 1990 Feb;45(3-4):183-8.
Total gastrectomy is the elective therapy for gastric cancer, but anastomotic dehiscences often improve the results of this surgery, performed in patients with malnutrition due to the neoplasy. The authors present a group of 27 patients treated with total gastrectomy and a routine postoperative TPN; the incidence of dehiscences and postoperative complications is very low. The preoperative evaluation of surgical risk and the choice of pre- and/or postoperative, parenteral and/or enteral nutritional therapy, are discussed.
全胃切除术是胃癌的选择性治疗方法，但吻合口裂开往往会改善该手术的效果，该手术适用于因肿瘤导致营养不良的患者。作者介绍了一组27例行全胃切除术并接受常规术后全胃肠外营养的患者；吻合口裂开和术后并发症的发生率非常低。文中讨论了手术风险的术前评估以及术前和/或术后肠外和/或肠内营养治疗的选择。
