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胃低部 潰瘍의 出血, 穿孔 및 惡性化의 各 1 例 報告를 通한 術式의 考察

Surgical Aspects of Gastric Fundus Ulcer of Bleeding, Perforation and Malignancy

대한외과학회지 1968년 10권 8호 p.609 ~ 615
李秉鵬, 金鎭福, 金晋煥,
소속 상세정보
李秉鵬 (  ) - 서울대학교 醫科大學 外科學敎室
金鎭福 (  ) - 서울대학교 醫科大學 外科學敎室
金晋煥 (  ) - 서울대학교 醫科大學 外科學敎室

Abstract


Among the gastric ulcers of peptic ulcer diathesis, juxta-esophageal area including fundus ulcers of bleeding, perforation and malignancy were presented through the individual case report, and contemplated to have their academical significance especially in the aspect of surgical technique.
That is, bleeding from fundus ulcer was managed by the classical Kelling-Madlener operation with suture ligation of bleeding vessels, exposed on the ulcer bed, and perforation of fundus ulcer was managed by the simple closure with the general measurement for panperitonitis, and malignant ulcer of fundus was managed by the extended total gastrectomy instead of preoperatively planned proximal gastrectomy, because of the submucosal spread of tumor cell into the pyloric antrum.

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