摘要
本文报告75例根治性全胃切除的手术结果,术后并发症发生率为26.7％,近切端阳性率为24％,手术死亡率为5.3％,术后3、5年生存率分别为45.8％与25％。作者认为与传统的胸腹联合切口比较,经腹途径的优点是手术时间短,胸部并发症少,创伤小,安全性大,主要适用于尚未浸润食管的近端胃癌,尤其对高龄、体弱或心肺机能差的病人更为有利。
The result of 75 cases of transabdominal radical total gastrectomy is reported.The frequency of post operative complications was 26. 7%. Tumor residue at the oral margin of the speimen was seen in 18 cases(24%). The operative mortality rate was 5. 3%. The surival rates after operation were 45.8% and 25% at three and five years respectively. The authors consider that the advantage of this approach lies in shortening of the operation time, minimiz- ing the chest complications, reducing operative trauma and risk as compered with conventionai transthoracoabdominal approach. Trans-abdominal approach may mainly be applied in Patients with proximal gastric cancer without infiltrating the lower end of the esophagus, especially in aged PatientS with poor health and impaired function of heart and lung.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1993年第3期203-204,共2页
Chinese Journal of Clinical Oncology
关键词
胃切除
胃肿瘤
Gastric carcinoma
Total gastrectomy
Transabdominal approach
