Chu K M, Lai D T, Stern H S, Sheldon D M
Department of Upper Gastrointestinal Surgery, Royal Prince Alfred Hospital, Sydney, Australia.
Postgrad Med J. 1995 May;71(835):303-5. doi: 10.1136/pgmj.71.835.303.
A patient with carcinoma of the stomach invading multiple adjacent organs and fungating through the anterior abdominal wall was treated by en bloc multiple organ resection and abdominal wall reconstruction. The patient is alive and well at the time of writing, six months after the operation. The rationale for embarking on multiple organ resection for gastric cancer is discussed. However, such an aggressive surgical approach should only be applied to carefully selected patients who are medically fit and have no evidence of widespread systemic metastases.
一名胃癌侵犯多个相邻器官并经前腹壁呈蕈状生长的患者接受了多器官整块切除及腹壁重建手术。在撰写本文时，患者术后六个月，情况良好，仍存活。文中讨论了对胃癌进行多器官切除的理论依据。然而，这种积极的手术方法仅应适用于经过精心挑选、身体状况良好且无广泛全身转移迹象的患者。
