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对于位于胃远侧1/2部位的癌肿最佳术式选胃全切(TG)亦或胃次全切(SG)仍有争论,支持 TG 者认为胃全切根治彻底,而支持 SG 者认为胃全切术后并发症发病率及死亡率高,比较二术式的优劣首先要比较其对近期手术结果的影响。本文采用随机研究分析了两种术式术后并发症发生率和死亡率。方法:术前选择癌肿位于胃远侧1/2、年龄小于75岁、无其它肿瘤和胃切除病史、未接受过化疗的病例,排除有严重合并症、器官功能衰竭、严重营养不良的病例。术中选择癌肿距贲门6cm 以上、无肝脏、腹膜转
There is still controversy over the choice of the best surgical procedure for the cancer located in the distal part of the stomach, TG or SG, and it is argued that TG patients believe that the radical excision of the stomach is thorough and supports SG. The morbidity and mortality of complications after total gastrectomy are considered to be high. To compare the advantages and disadvantages of the second surgical procedure, we must first compare its effect on the results of recent operations. This article used a randomized study to analyze the incidence of postoperative complications and mortality. METHODS: Preoperatively selected cases of cancer with distal 1/2 stomach, age less than 75 years, no history of other tumors and gastrectomy, and no chemotherapy were excluded. Cases with severe complications, organ failure, and severe malnutrition were excluded. . Intraoperative selection of cancer more than 6cm from the fontanelle, no liver, peritoneal switch