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为明确早期胃癌节段性胃切除的优点,分别从手术侵袭性、食物排出能力、术后后遗症及血清胃泌素值等方面加以探讨,并与胃幽门切除术相比较。 节段性胃切除(节切)组22例,胃幽门切除(幽切)组44例。术后观察时间幽切组为18.44±8.7个月,节切组为15.54±9.1个月。节段性胃切除适应症是胃中部(M区)分化型粘膜癌、直径35mm以下的隆起型或20mm以下无溃疡的凹陷型者,其淋巴结转移罕见,即
In order to clarify the advantages of segmental gastrectomy for early gastric cancer, the invasiveness of surgery, food discharge capacity, postoperative sequelae, and serum gastrin value were explored and compared with gastroenteric resection. There were 22 patients undergoing segmental gastrectomy (segmentectomy) and 44 patients undergoing gastric pylorus resection. The time of postoperative observation was 18.44±8.7 months in the cryptectomy group and 15.54±9.1 months in the excision group. Indications for segmental gastrectomy are differentiated mucosal carcinomas in the middle stomach (M zone), bulge diameters up to 35 mm, or depressions below 20 mm without ulcers. Lymph node metastases are rare, that is,