[Risk of gastrectomy for stomach carcinoma in relation to reconstruction methods].
Between 1982 and 1996 we performed 452 total gastrectomies due to gastric cancer. 108 patients underwent a pouch reconstruction called Ulm pouch with preservation of the duodenal passage. In 251 patients, the reconstruction was made according to Hunt-Lawrence-Rodino and in 93 patients, a Roux-en-Y reconstruction without pouch was performed. In the Ulm pouch group, the rate of anastomotic leakage as well as the 30-day mortality was 0.8% and its relative risk was 2.6 times lower than in the other reconstruction groups (n = 452) and therefore, this type of reconstruction can be recommended for all curatively resected patients also with regard to morbidity and mortality.
Schwarz
A
A
Chirurgische Klinik I, Universität Ulm.
Jung
M
M
Kunz
R
R
Beger
H G
HG
D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000637:transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality*; D012306:Risk; D013274:Stomach Neoplasms / Q000401:mortality / Q000601:surgery*; D013529:Surgical Wound Dehiscence / Q000401:mortality; D015996:Survival Rate; D016896:Treatment Outcome
Risiko der Gastrektomie wegen Magenkarzinom in Abhängigkeit vom Rekonstruktionsverfahren.