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

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 5 mm
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 100 mm 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 16 日 目 に経過順調に て退院した 。

Kết quả (Anh) 1:

Admitted to the delirious ascites. Pylori from gastric antrumAccompanied by serosa circle between tumor and BM adenoid tumorAnd infiltration in the pancreas was. Gastric antrum, lesser curvature side to 5 mm in diameterMuch of the perforation. There was multiple peritoneal nodules and alienMetastasis was detected in Su fossa. I think non-curative surgery, perforation,What greater omentum, stomach Transection (잙 Linear Cutter 100 mm use)And I'm and stomach empty bowel Yes pass surgery (colon after route) enforcement was(Figure 3). Been discharged smoothly over 16 days postoperatively.

Kết quả (Anh) 3:

A 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. A ， metastasis was recognized in the peritoneal cavity, Doug at La nodules and masses. ， and cannot repair perforation of stomach omental filling-in ， transection (Linear Cutter 잙 was 100 mm, including stomach and jejunum by: (colon after the path of Fig. 3.) was conducted.16 days after the smooth progress in the hospital.