Lao Y H
Henan Tumor Hospital, Zhengzhou.
Zhonghua Zhong Liu Za Zhi. 1989 Jan;11(1):53-6.
1089 patients with gastric cancer resected from 1979-1986 are analysed. Of 1089 patients, 105 underwent total gastrectomy, including 55 by routine method as control and 50 by improved method as study group. The improved total gastrectomy was to take the jejunum instead of a gastric pouch for reconstruction of alimentary tract. End-to-side anastomosis was carried out by stapling devise, forming a reversed "7" gastric substitute and ensuring blood supply as well as physiologic patency and less postoperative complications. This technique is simple and easy to be adopted. The incidence of complication was 9% without operative mortality in this series. The 5-year survival rate was 35.75%.
对1979年至1986年间接受胃癌切除术的1089例患者进行了分析。在这1089例患者中，105例行全胃切除术，其中55例采用常规方法作为对照，50例采用改良方法作为研究组。改良全胃切除术是采用空肠代替胃囊进行消化道重建。使用吻合器进行端侧吻合，形成一个倒置的“7”字形胃替代物，确保血供以及生理通畅性，并减少术后并发症。该技术简单且易于采用。本系列并发症发生率为9%，无手术死亡病例。5年生存率为35.75%。
