Stallkamp B, Häring R
Zentralbl Chir. 1981;106(17):1127-42.
One of the hazardous problems of total gastrectomy is anastomotic leakage. A retrospective study was carried out to evaluate the factors which may have an impact on anastomotic leakage. 188 patients who underwent total gastrectomy at the Surgical Department in the Klinikum Steglitz of the Free University of West-Berlin and the Marien-Hospital in Osnabrueck from 1963 to 1979 were investigated. Age, sex preoperative haemoglobin and total protein as well as the dignity of the underlying disease have been found to have no influence on the rate of anastomotic leakage. However, patients with blood group A have a significantly (p less than 0.05) lower leakage rate than patients with blood group 0, and patients with scirrhous carcinoma have also a significantly lower leakage rate than those with adenocarcinoma and solid carcinoma. Possible relationship among ABO blood groups and different kinds of disease are discussed.
全胃切除术后的一个危险问题是吻合口漏。开展了一项回顾性研究，以评估可能对吻合口漏产生影响的因素。对1963年至1979年期间在西柏林自由大学施泰格利茨临床医院外科以及奥斯纳布吕克玛丽恩医院接受全胃切除术的188例患者进行了调查。结果发现，年龄、性别、术前血红蛋白和总蛋白以及基础疾病的严重程度对吻合口漏发生率均无影响。然而，A型血患者的漏率显著（p<0.05）低于O型血患者，硬癌患者的漏率也显著低于腺癌和实体癌患者。文中讨论了ABO血型与不同疾病之间可能存在的关系。
