有关全胃切除术若干问题的探讨

Evaluation of some issues for total gastrectomy

对７２例全胃切除术作了总结分析，对适应证的掌握、手术径路的选择、联合脏器切除、消化道重建方式和术后并发症防治等问题进行了探讨。认为应根据患者全身状况、病变性质和胃癌临床病期以及术者经验等选择消化道重建术式更为合理。

Seventy-two cases for total gastrectomy were reviewed.To increase therate of absolute and relative radical resection for gastric cancer,it is important event tooh.oose rationally indication of total gastrectomy.A abdominal incision was a goodchoice,since thorough clearance of lymph nodes,less disturbance of cardioplumonaryfunctions and better convalesce of postoperation were obtained. Splenectomy should becarefully considered due to splenic immune function'The method of reconstruction foralimentary tract was depended on the patient's general condition,malignant or benign lesion,clinical stage of cancer and surgeon's experience. To further decrease the risk of operative death and postoperative complication, it is necessary to improve operative technique and vigorous perioperative management.