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[外科全胃切除术]

[Total gastrectomy in surgery].

作者信息

Bruncić S

出版信息

Acta Chir Iugosl. 1982;29(2):179-87.

PMID:7168273
Abstract

For a total resection of the ventricle it is surgically possible to replace the reservoir and duodenum passage and prevent reflux into the gullet. In this way difficult consequences of agastric can be reduced. A recent look into the pathophysiology and improvement of the surgical technique decreases high operating risk. In this article there is a review of 23 patients after total gastrectomy, with an analysis of the immediate cause of death after the surgical operation, as well as the attendance of the survivals. Insufficient and late results after subtotal resection of the stomach was the purpose of this review. Total gastrectomy under present conditions of insufficient diagnosis of cancer with us, is the only issue, because cancer of the stomach is the most frequent indication.

摘要

对于心室的全切除,通过手术替换贮液器和十二指肠通道并防止反流至食管是可行的。这样可以减轻无胃状态的不良后果。近期对病理生理学的研究以及手术技术的改进降低了高手术风险。本文回顾了23例全胃切除术后的患者,分析了手术操作后的直接死亡原因以及存活者的情况。本次回顾的目的是探讨胃次全切除术后效果不佳及延迟出现的结果。在我们目前对癌症诊断不足的情况下,全胃切除术是唯一的选择,因为胃癌是最常见的适应证。

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1
[Total gastrectomy in surgery].[外科全胃切除术]
Acta Chir Iugosl. 1982;29(2):179-87.
2
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[Total gastrectomy in cancer of the stomach (author's transl)].
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Vestn Khir Im I I Grek. 1995;154(1):18-9.
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Total gastrectomy reconstructed by interposition of a jejunal J pouch with preservation of hepatic vagus branch and lower esophageal sphincter for T2 gastric cancer without lymph node metastasis.对于无淋巴结转移的T2期胃癌,通过插入空肠J形贮袋进行全胃切除术,同时保留肝迷走神经分支和食管下括约肌。
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