Bünte H
Langenbecks Arch Chir. 1982;358:95-100. doi: 10.1007/BF01271762.
Surgical therapy of carcinoma of the stomach has to take into consideration the individual type and localization of the tumor. Total gastrectomy as a therapeutical principle must be rejected. The syndromes after partial resection are less inconvenient than after total gastrectomy. A resection in combination with a reflux-free Roux-en-Y anastomosis should be preferred. After partial resection prophylactic therapeutic measures are not indicated. Continuous postoperative supervision is necessary however. Reoperations after a preceding partial resection are successful in many cases. The fate of the patient and the five-year survival rate depend directly on the stage of the tumor at the time of operation. Palliative operations improve expectation and comfort of life of the patient with an incurable carcinoma.
胃癌的手术治疗必须考虑肿瘤的个体类型和位置。全胃切除术作为一种治疗原则必须被摒弃。部分切除术后的综合征比全胃切除术后带来的不便更少。应首选联合无反流的Roux-en-Y吻合术的切除术。部分切除术后无需采取预防性治疗措施。然而，术后持续监测是必要的。先前部分切除术后的再次手术在许多情况下是成功的。患者的预后和五年生存率直接取决于手术时肿瘤的分期。姑息性手术可改善无法治愈的癌症患者的预期和生活舒适度。
