Uspenskiĭ L V, Kurguzov O P, Kuzin N M, Kuznetsov N A, Artiukhina E G
Khirurgiia (Mosk). 1990 Feb(2):60-6.
The article generalizes the experience in treating 137 patients with diseases of the stomach and duodenum. The largest group included 82 persons with peptic ulcer; 45 had carcinoma of the stomach; 5 had benign tumors of the stomach, and 5 persons had chronic duodenal obstruction. The most common concurrent disease was cholelithiasis (102 patients), it was diagnosed before the operation in 70% of patients with peptic ulcer and in 85% of those with carcinoma of the stomach. Among the less predominant diseases were abdominal hernias (12 patients), cysts of various localization (7), varicosity (3), chronic appendicitis (3), atherosclerosis obliterans (2), ect. Organ-preserving operations were carried out as the main stage of surgery in most patients with peptic ulcer. The nature of the simultaneous operations corresponded to the concomitant surgical diseases. Most of the operations (125) were performed through a median laparotomy approach; superior median laparotomy was mostly resorted (115 patients). Four (2.9%) patients died after the operation. It is pointed out that patients with gastroduodenal diseases must be thoroughly to reveal concurrent surgical diseases.
本文总结了137例胃和十二指肠疾病患者的治疗经验。最大的一组包括82例消化性溃疡患者；45例患有胃癌；5例患有胃良性肿瘤，5例患有慢性十二指肠梗阻。最常见的并发疾病是胆结石（102例患者），在70%的消化性溃疡患者和85%的胃癌患者术前被诊断出。在不太常见的疾病中有腹疝（12例患者）、各种部位的囊肿（7例）、静脉曲张（3例）、慢性阑尾炎（3例）、闭塞性动脉粥样硬化（2例）等。在大多数消化性溃疡患者中，保留器官的手术作为手术的主要阶段进行。同期手术的性质与并发的外科疾病相对应。大多数手术（125例）通过正中剖腹术进行；大多采用上正中剖腹术（115例患者）。4例（2.9%）患者术后死亡。指出胃十二指肠疾病患者必须彻底检查以发现并发的外科疾病。
