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保留幽门的胃切除术(PPG)术后倾倒综合征和胆汁返流性胃炎罕见,所以术后生活质量优于次全胃切除术(SG)。Kodama和Koyama认为,对局限于胃中1/3的早期胃癌,如果手术能完全切除幽门上、下淋巴结,同时又能保持幽门良好的血运,大多数早期胃癌可施行PPG。作者介绍了幽门下动脉血管造影的结果分析和根治性PPG的实用方法,特别是保留幽门下动脉的幽门下淋巴结解剖,并介绍了25例根治性PPG治疗结果。
Postoperative pylorus gastrectomy (PPG) postoperative dumping syndrome and bile reflux gastritis are rare, so postoperative quality of life is better than subtotal gastrectomy (SG). Kodama and Koyama believe that for early gastric cancer, which is limited to one-third of the stomach, PPG can be performed in most cases of early gastric cancer if surgery can completely remove the upper and lower pyloric lymph nodes while maintaining good pyloric blood supply. The authors introduced the analysis of the results of the pyloric angiography and the practical methods of radical PPG, especially the preservation of the pyloric pyloric lymph node dissection, and introduced 25 cases of radical PPG treatment.