胃切除术246例的体会

Experiences on 246 cases of gastrectomy

本文报道了胃十二指肠溃疡病行胃切除术246例,其中胃大部切除术132例,半胃切除术114例。术后发生吻合口梗阻1例,膈下脓肿1例,均经再次手术治愈。作者体会:①胃大部切除术与半胃切除术的远期疗效无显著差异;②完全切除胃窦部粘膜后,旷置的十二指肠溃疡,一般能很快愈合;③胃肠吻合口勿内翻过多,两层缝合时,内层最好用可吸收性肠线;④胃切除术后第一天即可进少量流质,以后逐渐增加。

246 patients with ga(?)tric and d(?)denal ulcer(?) had been oper ated on with subtotal gastrectomy(132 cases)and semigastuecto- my(114 cases).After operation.anastornotic obstr(?)ction and subdlaphragmstic abscess ocurred in one case (?)espectively,and they were cured after another operation we conesuded: 1.There was no significant difference on long term eff(?) between subtotal gastrectomy and semi gastrectomy. 2.After mucous membrane of gastric annum totally cut.the resiual duodenal uicer would generally be heaied quickly. 3.The gastro-intsetioal anastomotie orffice would not be with over-inversion.When two layers su(?)ured,it would be better to make the absorptive catguts used in the internal layer. 4.The day after the gastrectomy.the patient may be permir- ted to take a little fluid diet.The diet quantity would be increased gradually later.