Peiper H J
Zentralbl Chir. 1979;104(1):10-22.
This paper deals with the basic surgical principles in inoperable tumours. In case of inoperability the possibilities of palliative surgery should be examined: palliative resection, quantitative tumour reduction, different bypassing procedures in the G.I-tract, amputation, exarticulatoan. It is most decisive to keep the balance between intended effect and operative risk or prognosis of the underlying disease respectively, Additional conservative measures enlarge the indications of palliative surgery.
本文探讨不可切除肿瘤的基本外科治疗原则。对于无法进行手术切除的情况,应评估姑息性手术的可能性:姑息性切除、肿瘤减量、胃肠道不同的旁路手术、截肢、关节离断术。最关键的是要在预期效果与手术风险或基础疾病的预后之间保持平衡,此外,保守治疗措施可扩大姑息性手术的适应证。