Operative surgery, for students and practitioners . Fig. ISl.—Doyen Holding Forceps. of resection of the pylorus and part of the body of the stomachand the adjacent lymphatic nodes. The pylorns is drained chieflyby the lymphatics that terminate in the nodes situated along thelesser curvature—along the course of the gastric artery—^betweenthe folds of the gastro-hepatic omentum, and for this reason canceroriginating in the pylorus, the usual site of the disease, spreads. Fig. 182.—Hartmann Holding Forceps. more rapidly along the lesser curvature than along the greatercurvature (see Fig. 160), i
Operative surgery, for students and practitioners . Fig. ISl.—Doyen Holding Forceps. of resection of the pylorus and part of the body of the stomachand the adjacent lymphatic nodes. The pylorns is drained chieflyby the lymphatics that terminate in the nodes situated along thelesser curvature—along the course of the gastric artery—^betweenthe folds of the gastro-hepatic omentum, and for this reason canceroriginating in the pylorus, the usual site of the disease, spreads. Fig. 182.—Hartmann Holding Forceps. more rapidly along the lesser curvature than along the greatercurvature (see Fig. 160), involving not only the lymphatic nodes,but also affecting the mucous membrane of this part of the organearly. The fundus is not affected until late in the disease. In this operation the pylorus and body of the stomach, allof the lesser curvature, and a considerable part of the greatercurvature, together with all the adjacent lymphatic nodes areremoved in one mass, the fundus only remaining; the continuity 394 ABDOMEN AND BACK. of the alimentary canal is restored either by a gastro-duodenostomyor a gastro-Jejnnostomy. The abdominal incision must be sufficiently liberal, reachingfrom the tip of the ensiform cartilage downward in the middle lineas far as the umbilicus or beyond that point. The hand is intro-duced into the abdomen and the conditions investigated. As arule, the stomach, tumor, can be brought out through the the tumor cannot be drawn out
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Keywords: ., bookauthormcgrathj, bookcentury1900, bookdecade1910, bookyear1913
