根治性全胃切除术

• 作 者: 林言箴 朱寿柱
• 机 构: 上海第二医科大学瑞金医院外科,上海第二医科大学瑞金医院外科
• 出 处: 实用外科杂志
• 发表日期: 1989年09期
• 关键词: 全胃切除术 五年生存率 手术死亡率 代胃术 淋巴结转移率 消化道重建 胸腹联合切口 胃周淋巴结 胃系膜 Morton

自Sehlatter于1897年创用全胃切除术治疗胃癌以来,对其疗效的评价几经起伏。从40年代至50年代初Morton,Pack 和McNeer,Longmire,Wangensteen 等名家相继加以提倡、发展后,至60年代前后始由Marshall、Rush 等根据根治性胃部分切除术与全胃切除术的手术死亡率、并发症发生率及五年生存率的对比,对后者提出更为客观、中肯的意见。他们认为根治性全胃切除术不应用作全

Since Sehlatter made a total gastrectomy for gastric cancer in 1897, the evaluation of its efficacy has been ups and downs. From the 1940s to the early 1950s, Morton, Pack and McNeer, Longmire, Wangensteen and other famous artists successively advocated and developed, and until the 1960s, surgical complications such as radical gastrectomy and total gastrectomy were performed by Marshall and Rush et al. The comparison of the rate, the incidence of complications and the five-year survival rate provides more objective and pertinent opinions on the latter. They believe that radical total gastrectomy should not be used as