摘要
目的探讨胃上部癌近端胃大部切除手术路径、手术方式的改进。方法回顾性分析1995至2005年普外科73例胃上部癌患者,术中行胃大弯侧非肿瘤浸润区剪裁、缝合成管状与食管残端行端侧吻合及幽门成形术。结果经腹路径在缩短手术时间,减少手术创伤、安全方面有一定的优势。该术式除发生术后吻合口狭窄等并发症外,无手术死亡病例发生。结论该术式减少了全胃切除的复杂性。73例胃上部癌患者手术切除率100%,其中行根治性近端胃大部切除63例(86.30%),姑息性切除10例(13.70%);随访3年生存率38.71%,5年生存率33.87%。
Objective To investigate the improvement on the pathway during stomach cancer resection close to the top-stomach. Methods 73 stomach cancer cases during 1995-2005 were restropected. During operation, nontumour infiltration cut of greater curvature was made, following with suture operation into tubiform, end-to-end anastomosis with esophagus stamp and pyloroplasty was applied. Results Mer-abdomen pathway stomach operation has an advantage in shortening operation-time, decreasing operation wound, and increasing safety. Besides stoma stemostomin in the post-operation cases, there is no death case. Conclusion This method has decreased the complication of total gastrectomy. In all cases, the exairesis rata of stomach superior part cancer is 100%, including radical cure 63cases（86. 30%）, palliation resectionl0cases（13.70%.）During the follow-up period, survival rate of 3years is 38.71%, compared with 3.87%of 5 years.
关键词
胃上部癌
手术路径
方法改进
Stomach superior part cancer
Operation pathway
Improvement
