Total gastrectomy
About 45 cases
Keywords:
gastrectomyAbstract
Total gastrectomy has a bad reputation among surgeons which it does not deserve. After their experience with 45 total gastrectomies; 43 of which were performed on gastric cancer extended to the spleen and pancreas and reconstructed by means of an esophago-ieiunostomy with a disfunctionalyzed loop; the authors remark that:
1- Its mortality; yet high - in his series reaches 22% however not different from the main series issued in Europe, the U.S. and Latín America; can be lowered through a well planned Prophylactic scheme of is principal postoperative complications: failure of the esophago-ieiunal anastomosis uture and respiratory and throm oem bolle complications.
2- that lite after the operation is of a much better quality than it was said before, if there is no neoplastic recidivation and especially if the transit is reconstructed in such a way so as to avoid enteroesophageal reflux. A Roux Y loop or any of its functionally similar varins as the HiveWarren loop modified by Estefan and Praderi are recommended.
Downloads
Downloads
Published
How to Cite
Issue
Section
License
All articles, videos and images published in Revista Cirugía del Uruguay are under the Creative Commons CC licenses, which is a complement to the traditional copyright, in the following terms: first, the authorship of the referred document must always be acknowledged and secondly none of the article or work published in the journal may have commercial purposes of any nature. The authors retain their copyrights and give the magazine the right of first publication of their work, which will be simultaneously subject to the Creative Commons Attribution-NonCommercial 4.0 International License license that allows the work to be shared whenever the initial publication is indicated in this journal.
