Chernyi V A, Shchepotin I B
Vestn Khir Im I I Grek. 1987 Jun;138(6):102-4.
An analysis of results of 275 gastrectomies in patients with gastric cancer has shown that main causes of death after the operation were pancreanecrosis (2.8%) and incompetence of sutures of the esophago-intestinal anastomosis (1.7%). Sparing operations, measures reducing duodenostasis, administration of protease inhibitors during operation as well as early reestablishment of passage of the intestinal content resulted in less amount of postoperative pancreatitis. The method of performing esophago-intestinal anastomosis after Hilarowicz with block of the upper loop by a circular ligature allow the amount of incompetent sutures of the anastomosis to be minimized and give satisfactory functional results.
对275例胃癌患者胃切除术结果的分析表明，术后主要死亡原因是胰腺坏死（2.8%）和食管-肠吻合口缝线不愈合（1.7%）。保留性手术、减轻十二指肠淤滞的措施、术中使用蛋白酶抑制剂以及早期恢复肠内容物通过，可减少术后胰腺炎的发生。采用希拉罗维茨法进行食管-肠吻合，并用环形结扎阻断上袢，可使吻合口缝线不愈合的数量降至最低，并取得满意的功能效果。
