How does spurt door tumour treat

summary

Subtotal gastrectomy and lymph node dissection of perigastric and left gastric vessels. If the scope of resection needs to be expanded, total gastrectomy or combined splenectomy and partial pancreatectomy should be performed. How to treat the tumor of spout door tell everybody.

How does spurt door tumour treat

First, thoracotomy was performed on the left posterolateral 7th rib bed or intercostal space to explore the lower esophagus. Then, the diaphragm was cut to the left anteriorly with the hiatus as the axis, and the abdomen was explored. When there was no liver, peritoneal metastasis or extensive lymph node metastasis, the greater omentum, the left gastroomental artery and the short gastric artery in the gastrosplenic ligament were cut off along the great bend, and the left diaphragm foot was cut off to completely expose the lower esophagus, and the part (including the lower pulmonary ligament) was removed lymph gland.

Second, the body and tail of the pancreas should be opened with gauze to expose the left gastric blood vessel and its adjacent lymph nodes. The lymph nodes should be carefully cleaned, the left gastric blood vessel should be ligated and cut off, the hepatogastric ligament should be cut off, the proximal stomach should be completely free, and the gastric tube should be cut on the big bend side. If there is a gastric suture machine, the operation time can be saved. The distance between the cutting edge and the tumor edge should not be less than 5cm. The gastric tube was rotated 90 ° clockwise, and then anastomosed end to end with the lower esophageal stump. The inner layer was sutured with a full-thickness nodule, and the outer layer was overlapped with the gastric seromuscular layer upward, about 2cm around the anastomotic stoma, like a telescope. Before anastomosis, in order to prevent the stomach mucosa from being too long, the muscle layer at the stoma of gastric tube can be cut in a circular way, and the loose mucosa will be exposed like sleeve because of the retraction of the distal muscle layer.

Third, the submucosa should be fully hemostatic, and the extra mucosa should be cut off at the level of the distal muscularis. At this time, the mucosa of the gastric tube mouth is just level with the muscularis, and the field of vision is very clear during anastomosis, which is helpful for tight anastomosis.

matters needing attention

1. Sugarcane and ginger drink: sugarcane and ginger in proper amount. Take half a cup of sugarcane juice, 1 tbsp ginger juice and simmer. Take it twice a week after stewing. It has the effect of harmonizing and invigorating the stomach. It is suitable for the early stage of gastric cancer. 2. Brown sugar stewed tofu: 100g tofu, 60g brown sugar, 1 bowl of water, brown sugar with water, add tofu, cook for 10 minutes. Often take, with stomach hemostasis, hematemesis obvious can choose this diet treatment. 3. Tangerine peel and red dates drink: 1 orange peel and 3 red dates. Decoct the red dates with orange peel. Once a day, this dietotherapy prescription can promote qi and spleen, reduce adverse reactions and stop vomiting, and is suitable for deficiency cold vomiting. 4. Radish porridge: 30 grams of radish seed, appropriate amount of Japonica rice. First fry the radish seed, and then cook it with japonica rice. Once a day, breakfast, this prescription Xiaoji except for distension, abdominal distension obvious can choose. 5. Tangerine peel and lean meat porridge: 9 grams tangerine peel, 12 grams cuttlefish bone, 50 grams lean pork, appropriate amount of Japonica rice. Use tangerine peel, fish bone and rice to cook porridge. Remove tangerine peel and squid bone after cooking. Add lean meat slices and cook again. Season with a little salt. Take it twice a day for breakfast and dinner. It is the first choice for those with abdominal distension.