手術所見：混濁した腹水を認めた。 胃前庭部から幽門輪にかけて漿膜浸潤を

手術所見：混濁した腹水を認めた。 胃前庭部から幽門
輪にかけて漿膜浸潤を伴う腫瘍を認め， 腫瘍は胆囊と
膵臓にも浸潤していた。 胃前庭部小弯側に径 5mm
ほどの穿孔を認めた。 また， 多数の腹膜結節とダグラ
ス窩にも転移を認めた。 根治術は不能と考え， 穿孔部
大網充塡， 胃離断（ Linear Cutter 잙 1 0 0mm 使用）
および胃空腸バイ パス術（ 結腸後経路） を施行した
（ 図 3 ) 。 術後 1 6日目に経過順調にて退院した。

Kết quả (Anh) 1:

Laparotomy: ascites delirious admitted. Pylori from gastric antrumAccompanied by serosa circle between tumor and BM adenoid tumorAlso invading the pancreas. Gastric antrum, lesser curvature side to 5 mm in diameterMuch of the perforation. Also, of multiple peritoneal nodules and Douglas.Metastasis was detected in the, fossa. I think non-curative surgery, perforation,Greater omentum what, gastric Transection (Linear Cutter 잙 1 0 0 mm)And an empty stomach bowel Yes pass surgery (colon after route)(Figure 3). 1 discharged at well over 6 days.

Kết quả (Anh) 2:

Operative findings: I showed turbid ascites. Pylorus from the stomach antrum
revealed a tumor with serosa infiltration over the wheel, the tumor Tan囊and
had been infiltrated in the pancreas. Diameter 5mm in the gastric antrum small弯側
it showed a perforation of about. In addition, a number of peritoneal nodules and Dagura
it showed metastases to the nest fossa. Radical surgery is considered impossible, perforations
omental Takashi塡, IHanaredan (Linear Cutter 잙 1 0 0mm used)
was enacted and Isoracho bypass surgery (the colon after pathway)
(Figure 3). He was discharged at steady course in the first postoperative day 6.

Kết quả (Anh) 3:

Operative findings: turbid ascites was recognized. From the gastric antrum in pyloric ring at the tumor invasion to serosa was associated with the ， tumor invasion of gallbladder and pancreas. The diameter of 5 mm as perforation of gastric antrum in small curvature. The ， metastasis was recognized in the peritoneal cavity, Doug at La nodules and masses. ， and cannot repair perforation of stomach omental filling-in ， transection (including 1 0 0 mm Linear Cutter 잙 stomach and jejunum by path (path after the operation of Fig. 3.) was conducted. The postoperative course was smooth and the one on the sixth day in the hospital.