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目前术中判断及测定胃切除范围的方法很不一致,所谓胃窦切除,半胃切除,2/3胃切除,4/5胃切除等名词,不同的手术医生有不同的理解,迄今为止尚缺乏统一标准。为解决所切下的胃究竟占整个胃的百分比,作者进行如下实验研究。一、材料来源及方法从1978年起在取完肾移植供肾后的尸体上立即完整取下全胃及所属网膜、韧带和血管。于胃体后壁切一小口排空胃内容物立即平放桌面(此为模拟术中胃管抽空胃内容的状况),展平胃及网膜、韧带,观察胃左动脉、胃网膜右、左动脉,胃短动脉之分布及其吻
At present, the method of intraoperative judgment and determination of gastrectomy range is inconsistent. The so-called antral gastrectomy, gastrectomy, 2/3 gastrectomy, 4/5 gastrectomy and other terms are different. Uniform standards. In order to resolve the percentage of the stomach that was cut out from the stomach, the authors conducted the following experimental study. I. Sources and methods of materials Since 1978, the whole stomach and its omentum, ligaments and blood vessels have been completely removed from the body after kidney transplantation. A small mouth at the posterior wall of the corpus was used to empty the stomach contents and immediately place the tabletop (this is the state of evacuation of gastric contents in the stomach tube during the simulation). The stomach and omentum and ligaments were flattened, and the left gastric artery and right gastric fundus were observed. Left artery, short gastric artery distribution and kiss