Saturday, December 1, 2012

Gastric carcinoma has something to radically treat the skill how to select _ for use to treat

Gastric carcinoma has something to radically treat the skill, how to select _ for use to treat
1 carries the stomach and excises the skill to the stomach lower district and some focuses than the little light curved side gastric carcinoma of body of stomach mostly far, suitable for making and carrying the stomach and excising the skill mostly far.
2 proximal stomach excises skills to fundus of stomach cardia department gastric carcinoma mostly, the persons who have not exceeded a subregion of focus size, suitable for making proximal stomach and excising the skill mostly.
3 the whole stomach excise and the whole stomach amalgamate spleen, the intersection of pancreas and the intersection of body and tail, leave invading and two subregions of cancerous swelling on skill, leather bag stomach, there are or cancer in the lower districts by cardias when the lymph node is shifted, are suitable for doing the whole gastrectomy. Invade directly as focus and lymph node, the intersection of spleen and artery be lymph node at the spleen, the intersection of pancreas and essence or pancreas, essence merge group and can't remove completely, make the whole stomach, amalgamate spleen, the intersection of pancreas and the intersection of body and tail, excise skill with pancreas. The whole stomach needs to rebuild the digestive tract after excising.
4 Appleby operation indication is the same. Unlike this, take, remove all second stop lymph node at the same time the intersection of arteria coeliaca and the intersection of root and ligature at the operation, also excise the gallbladder conventionally. It is also the same that rebuild the digestive tract. This skill type is not suitable for the obviously not complete one of liver cirrhosis and liver function.
5 gastric carcinoma amalgamate, give much trouble internal organs, excise skill, soak directly gastric carcinoma section, colon, liver, pancreas neighbouring internal organs have no person who shifts sign of distant place under the esophagus jointly, generally maintain that will be given much trouble the internal organs and amalgamated and excised positively.
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