摘要
回顾性分析29例进展期胃癌全胃切除术．其中10例行联合胰尾、脾切除术。无1例手术死亡。随访1、3、5年生存率分别为100％（29例）、79．3％（23例）、27．6％（8例）。与同期非手术治疗组比较，生存率明显提高。作者认为，对侵犯两个区的胃癌宜行全胃切除术．对侵犯脾门胰尾者应联合切除胰尾、脾。强调消化道重建以食管一P形空肠拌ROOX－Y吻合术团置空肠营养管为好。
29 patients with advanced gastric cancer performed total gastrectomy without operative mortality were analyzed. In addition. 10 patients out of 29 were treated with total gastrectomy plus removal of tail of pancreas and spleen. The results showed that the 1, 3, 5 year survival rates were 100%, 79. 3% and 27. 6%, respectively. The survival rates were significantly higher in operative patients than those in non-operative patients. We suggested that the patients with gastric cancer in two regions underwent total gastrectomy, and complete excision of invaded organs such as spleen and tall of pancreas was also performed. We emphasized that gastrointestinal reconstructioas with Roux-Y anastomosis between esophayus-type P jejunum and with tube remained inside the jejunum for aliment were advisable.
出处
《临床外科杂志》
1998年第2期83-84,共2页
Journal of Clinical Surgery
关键词
全胃切除
消化道重建
食管-P形空肠吻合
Total gastrectomy
Gastrointcstinal reconstruction
Esophagus-type P jejunum anastomosis
