Efetov S V
Vestn Khir Im I I Grek. 1983 Apr;130(4):25-7.
The author shows that a characteristic feature of metastazing carcinoma of the gastric stump is frequent lesions of the mesenterial lymph vessels. The isolated lesion of this group of lymph vessels is also shown to be possible. A conclusion is made about the absence of the "intestinal barrier" and a necessary removal of the intestine loop and its mesenterium involved in anastomosis when performing radical operations for carcinoma of the gastric stump.
作者表明,残胃癌转移的一个特征是肠系膜淋巴管频繁受累。还表明这组淋巴管出现孤立性病变也是可能的。得出结论,在对残胃癌进行根治性手术时,不存在“肠屏障”,并且有必要切除参与吻合的肠袢及其系膜。