Sasaki I, Shiiba K, Naito H, Matsuno S
First Department of Surgery, Tohoku University School of Medicine, Sendai, Japan.
Nihon Geka Gakkai Zasshi. 1996 Apr;97(4):291-6.
Pylorus-preserving gastrectomy (PPG) was originally proposed by Maki et al for gastric ulcer. Recently this operation with lymph node dissection has been adopted for patients with early gastric cancer locating at antrum and body of the stomach in Japan. But standard procedure of this operation has not been established yet. Grade of lymph node dissection, preservation of pyloric branch and indication criteria are fairly dependent on each surgeon when PPG is applied for gastric cancer. Although the results of this operation is not accumulated enough, it is considered that this operation may have benefits for decrease of postoperative chronic morbidity with acceptable cancer curativity as compared to conventional distal gastrectomy, Billroth-I procedure.
保留幽门的胃切除术（PPG）最初由牧木等人提出用于治疗胃溃疡。最近，在日本，这种联合淋巴结清扫的手术已被应用于胃窦和胃体部早期胃癌患者。但该手术的标准术式尚未确立。当PPG应用于胃癌时，淋巴结清扫的范围、幽门分支的保留以及适应证标准在很大程度上取决于每位外科医生。尽管该手术的结果积累得还不够多，但与传统远端胃切除术毕罗一式相比，人们认为该手术可能有助于降低术后慢性发病率，同时具有可接受的癌症治愈率。
