Protopopov A A, Shabelianskiĭ V B, Sherman E M
Vopr Onkol. 1986;32(1):95-8.
An examination of the resected material obtained from 267 cases operated on for cancer of the distal part of the stomach (after Billroth 1-21.4 and Billroth 2-78.6%) failed to establish any correlation between frequency of postoperative complications, mortality rate or even 5-year survival, on the one hand, and surgical procedure, on the other (p greater than 0.05). Such postgastrectomy complications as dumping syndrome and reflux-esophagitis did not occur after application of Billroth 1 procedure, while in the other group they were observed in every seventh case (14.2 +/- 2.4%). Resection after Billroth 1 may be recommended for treatment of a considerable number of patients with cancer of the distal part of the stomach since it is as radical as Billroth 2 procedure but does not disturb major physiological functions.
对267例因胃远端癌接受手术（毕罗一式占21.4%，毕罗二式占78.6%）切除的组织进行检查，结果显示，一方面术后并发症发生率、死亡率甚至5年生存率，与另一方面的手术方式之间未发现任何关联（p>0.05）。应用毕罗一式手术后未出现倾倒综合征和反流性食管炎等胃切除术后并发症，而在另一组中，每七例就有一例出现此类并发症（14.2±2.4%）。鉴于毕罗一式手术与毕罗二式手术一样根治性，但不干扰主要生理功能，对于相当多的胃远端癌患者，建议采用毕罗一式切除术进行治疗。
