论文部分内容阅读
近年来胃癌根治术得到广泛开展,全胃切除病例也逐渐增多,但对于胃窦部癌在什么情况下需行全胃切除术,全胃切除病例是否需行胰体尾及脾联合切除术,全胃切除后以何种代胃术式较好等,在临床上是有争论的。作者认为胃窦癌当发现贲门旁淋巴结受累时应考虑全胃切除术,胃上部癌已侵及浆膜或在胰尾、脾门处有肿大淋巴结时可行联合胰体尾和脾的全胃切除术,代胃术中应满足代胃容量和无返流性食管炎两项基本要求,作者推荐改进的Poulino法Lygidakis法和Hosluy法较为理想。
In recent years, radical gastrectomy has been widely carried out, and cases of total gastrectomy have also gradually increased. However, under what circumstances should gastric antral cancer require total gastrectomy, and whether or not total gastrectomy cases require pancreatic body and tail and splenectomy, It is clinically controversial as to what type of gastric surgery is better after total gastrectomy. The authors believe that gastric antrum cancer should consider total gastrectomy when paraneophageal lymph nodes are involved. The upper stomach cancer has invaded the serous membrane or has enlarged lymph nodes at the pancreatic tail and the splenic portal. Resection and gastrostomy should meet the two basic requirements for gastric replacement volume and reflux-free esophagitis. The authors recommend the improved Poulino method, Lygidakis method and Hosluy method to be more ideal.