Saario I, Schröder T, Tolppanen E M, Lempinen M
Am J Surg. 1986 Feb;151(2):244-6. doi: 10.1016/0002-9610(86)90078-4.
One hundred consecutive patients treated for gastric cancer by total gastrectomy from 1977 to 1982 at the second department of surgery of the Helsinki University Central Hospital were analyzed. The mean age of the patients was 61.5 years. Gastroscopy proved to be diagnostically superior to roentgenographic examination, particularly in cases of proximally located cancer. The mean length of postoperative hospital stay was 19.7 days, and the hospital mortality was 8 percent. Respiratory complications accounted for nearly half of the complications, and postoperative intraabdominal complications were recorded in 15 patients. Reoperation was performed on eight patients during the initial hospital stay due to complications. The results suggest that total gastrectomy is a safe procedure with an acceptable mortality rate, and it can be recommended both as a curative and a palliative operation in patients with gastric cancer.
对1977年至1982年期间在赫尔辛基大学中心医院外科二部接受全胃切除术治疗胃癌的100例连续患者进行了分析。患者的平均年龄为61.5岁。胃镜检查在诊断上被证明优于X线检查，尤其是对于近端胃癌病例。术后平均住院时间为19.7天，医院死亡率为8%。呼吸并发症占并发症的近一半，15例患者记录有术后腹腔内并发症。由于并发症，8例患者在初次住院期间进行了再次手术。结果表明，全胃切除术是一种安全的手术，死亡率可接受，可作为胃癌患者的根治性和姑息性手术推荐。
