RESUMO
Comparative evaluation of immediate and long-term results of gastric resection was made in 89 patients operated upon by a traditional method and in 69 patients after laser operations. It was found that laser scalpel used in gastric resection gives reliable hemostasis, reduces the intraoperative blood loss and the time of creation of gastroenteric anastomosis. At the same time 2 times greater amount of inflammatory complications of the anastomosis was noted. The cause of the development of anastomosis after laser resection of the stomach is discussed.
Assuntos
Gastrectomia/métodos , Terapia a Laser/métodos , Anastomose Cirúrgica/métodos , Úlcera Duodenal/cirurgia , Duodeno/cirurgia , Estudos de Avaliação como Assunto , Gastrectomia/estatística & dados numéricos , Hemorragia Gastrointestinal/epidemiologia , Humanos , Incidência , Complicações Intraoperatórias/epidemiologia , Terapia a Laser/estatística & dados numéricos , Complicações Pós-Operatórias/epidemiologia , Úlcera Gástrica/cirurgiaAssuntos
Equinococose/cirurgia , Abdome/patologia , Abdome/cirurgia , Adulto , Equinococose/patologia , Emergências , Humanos , MasculinoRESUMO
The authors report the results of examination of 80 patients with ulcerous disease of the stomach and duodenum prior to and in the immediate period, as well as in 85 patients in late terms after typical Hofmeister-Finsterer gastrectomy. The acid-production of the stomach and its stump was studied by intragastric pH-metry, pepsine in the gastric juice was determined and also the resected stomach excretory function was studied by fibrochromogastroscopy. It is shown that the method of intragastric pH-metry is more advanrageous, since it gives an estimation of acid-production of the resected stomach in the immediate postoperative period, in particular.
