全胃切除根治胃癌的手术方法及术式改进：附105例手术分析

Radical total gastrectomy and improved operation in gastric cancer

1089 patients with gastric cancer resected from 1979-1986 are analysed. Of 1089 patients, 105 underwent total gastrectomy, including 55 by routine method as control and 50 by improved method as study group. The improved total gastrectomy was to take the jejunum instead of a gastric pouch for reconstruction of alimentary tract. End-to-side anastomosis was carried out by stapling devise, forming a reversed "7" gastric substitute and ensuring blood supply as well as physiologic patency and less postoperative complications. This technique is simple and easy to be adopted. The incidence of complication was 9% without operative mortality in this series. The 5-year survival rate was 35.75%.