Abstract
1) In past eight years, 305 cases of gastrectomy were performed for gastric cancer and peptic ulcer. There were five operative death (1.6 per cent) in 148 cases of gastric cancer, while there was no death in 175 cases of peptic ulcer.
2) The early post operative abdominal complications were 13 cases (4.2 per cent), which were shown in next Table.
3) Intestinal obstruction caused by adhesion occursoccasionally in the peptic ulcer with pyloric stenosis, for which we must take out large amounts of retained secretion and food from the stomach before surgery.
4) The paralytic ileus occurs often in the case of subtotal gastrectomy with extensive removal of lymphnodes, that evokes diminution of peristaltic movement, from which difficult to recover.
5) In the literature the incidence of anastomotic leaks after gastrectomy occurs frequently in the patient who has serum protein lesser than 6.0g%. Anastomotic leaks may happen in the case of hypoalbuminemia, however, even if serum protein is over than 6.0g% in our cases.
6) Necrosis of the remaining gastric wall would be caused by poor blood supply which evoked by bleeding from gastric section.
7) All death cases were found in the subtotal gastrectomy with extensive radical removal of regional lymphnodes.
