查詢結果分析
相關文獻
- 胃癌作胃全切除手術後以Billroth II Type Esophagojejunostomy及Braun Anastomosis造滿意之代替胃袋
- Intraluminal Mucin Pool in Mucinous Gastric Adenocarcinoma: A Case Report
- 胃癌之流行病學特徵及危險因子
- Dispute of Extended Lymph Node Dissection for Gastric Cancer
- 源自胃癌的克魯根堡氏瘤:十年臨床經瞼
- 胃癌化學治療之進展
- Pregnancy Associated with Gastric Carcinoma
- 20-MHz Ultrasonic Probe to Identify Early Gastric Cancer Suitable for Endoscopic Mucosal Resection
- 胃癌復發併吸收不良症候群
- 一位胃癌瀕死病患生理、心理反應及需求
頁籤選單縮合
| 題 名 | 胃癌作胃全切除手術後以Billroth II Type Esophagojejunostomy及Braun Anastomosis造滿意之代替胃袋 |
|---|---|
| 作 者 | 林春雄; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 13:1 1980.03[民69.03] |
| 頁 次 | 頁73-82 |
| 關鍵詞 | 胃全切除手術; 胃袋; 胃癌; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 在國內鮮有提出有關胃癌做胃全切除手術之報告,由於胃全切除手術之合併症多,手術後營養問題,死亡率高及胃癌常遲發現且轉移快,所以國人少做胃全切除手術,報告也就少。覆閱外國最近文獻之報告,由於胃纖維鏡及細胞學診斷之進步,對於胃癌之深入了解及開刀技術之進步,在美國及日本做胃全切除手術之報告逐漸多,且有主強胃癌儘可能做胃全切除根治手術之報告。胃全切除手術除了開刀之合併症及死亡率高外,最令外科醫師擔心的是手術後之營養問題,根據外國文獻報告,胃全切除手術後之營養不良原因不在於吸收不良(Malabsorption),而是由於胃口小(Inadequate intake),而胃口小主要由於胃全切除後,食物沒有地方貯藏(Loss of Reservoir), 或由於Esophagitis或Dumping Syndrome而沒有胃口,欲解決胃口小之唯一方法,在於做胃全切除後要造一個不發生Dumping Syndrome,不發生Esophagitis,令人滿意能貯藏食物之替代胃袋(Substitute Gastric Food Reservoir)。約兩年前本人為一位還沒有發生淋巴腺轉移之胃癌病人做根治性胃全切除手術後,以安全而易行之Billroth II type Esophagojejunostomy及Braun Anastomosis之Reconstruction造了一個令人滿意之替代胃袋,其食物貯藏區和形狀在鋇劑X光電視檢查下,發現和正常人之胃幾乎無法區別,且迫踪兩年發現不但不發生Dumping Syndrome及Esophagitis,而且體重及胃口均有增加,茲特別提出報告,並覆閱外國有關胃癌開刀治療及做胃全切除手術之最近文獻,提供胃癌開刀治療結果之最新資料,以為國內同仁之參考。 |
| 英文摘要 | A satisfactory substitute gastric pouch made by a rather simple and safe reconstruction method, i.e. end to side Esophagojejunostomy c side to side Anastomosis of Afferentand Efferent Limbs of Jejunal Loop after total gastrectomy for gastric cancer is presented. Complex and time consuming pouch constructions not only have never been widely accepted and still of unproved benefit but a1so substantiallyincrease the magnitude of the operative procedure and the number of anastomosis and then increase the operation risk and complication. Billroth II type Esophagojejuostomy c Braun anastomosis is a simple and safe reconstruction method, it may create satisfactory substitute gastric pouch. Moreover, in this report the literature of recent result of surgical treatment for gastric cancer is reviewed. Total gastrectomy should not be used as a routine operation for gastric malignancies that can be encompassed by radical subtotal gastrectomy. Radical subtotal gastrectomy is the operation of first choice for gastric malignancies, total gastrectomy is usually indicated in potentially curable gastric cancer or large cancer, which could not be removed by partial gastrectomy. |
本系統中英文摘要資訊取自各篇刊載內容。