摘要
目的 研究全胃切除治疗进展期胃近侧癌的安全性 ,评价疗效和手术适应证。方法 回顾性分析了 1980～ 2 0 0 0年行全胃切除进展期胃癌 5 8例 ,其中根治性切除 49例 ,姑息性切除 9例 ;联合脏器切除 2 3例 ,与同期非手术治疗组比较。结果 两组病例对比 ,生存率明显优于非手术治疗组 ,其术后1、3、5年生存率分别为 96.5 %、78.6%、45 .3 %。结论 严格掌握手术适应证 ,合理确定淋巴结切除范围和联合脏器切除 ,选用最佳的消化道重建方式 ,全胃切除进展期胃近侧癌是安全可靠的 ,可明显提高病人生存率。
Objective To assess the morbidities and mortalities of the total gastrectomy of advanced gastric proximal cancer and to evaluate its effects.Methods We made a retrospective analysis on clinical date of 58 patients with advanced gastric proximal cancer treared with total gastrectomy from 1980～2000.Radical total gastrectomy was performed in 49 cases,palliative total gastectomy in 9,combined evisceration in 23.Results The study showed that the 1 year,3 year,5 year survival rates were 96.5%,78.6%,45.3% respectively.The survival rates were significantly higher in operative patients than those in non operative patients.Conclusion We believe that the operative indication,the incision,the clearance extent of the lymph nodes and combined evisceration the method of reconstruction of digestive tract should be selected strictly and rationally.Total gastrectomy is safe in patients with advanced gastric cancer.It has definite effect to improve the survival rate.
出处
《河北医药》
CAS
2001年第7期497-498,共2页
Hebei Medical Journal
关键词
胃癌胃近侧癌
全胃切除
消化道重建
治疗
临床分析
proximal gastric cancer
advanced
total gastrectomy
reconstruction of digestive tract
