摘要
目的总结联合脏器切除治疗进展期胃癌的经验。方法对１９８８～１９９３年间施行联合脏器切除的４８例进展期胃癌的临床资料进行回顾性分析。结果４８例中，根治性切除３３例，姑息性切除１５例。其中联合脾切除１４例，脾合并胰体尾切除１２例，脾、胰体尾合并横结肠切除１例，胰体尾合并横结肠切除２例，横结肠切除３例，肝左外叶切除７例，卵巢切除３例，胆囊切除５例，胰十二指肠切除１例。手术死亡率４２％。随访１，３，５年生存率分别为６５１％，３２６％，２７９％。结论作者认为，严格掌握联合脏器切除的指征，恰当的选择手术入路，同时注重病人围手术期的营养支持，是降低并发症。
Objective To summarize the experience in combined evisceration for treating advanced gastric cancer. Methods The clinical data of 48 patients with advanced gastric cancer treated with combined evisceration from 1988 to 1993 were analysed retrospectively. Results Radical dissection was performed in 33 cases, palliative dissection in 15 cases, combined with splenectomy in 14, splenectomy and distal pancreectomy in 12, splenectomy, distal pancrectomy and transverse colectomy in 1, transverse colectomy and distal pancrectomy in 2, transverse colectomy in 3, the left lateral lobectomy of liver in 7, ovariotomy in 3, cholecystectomy in 5, pancreatoduodenectomy in 1. The operative mortality rate was 4.2%. The 1 , 3 , and 5 year survival rate were 65.1%, 32.6% and 27.9% respectively. Conclusions Such operation indication, incision and perioperative nutrition support as the key points will influence the effect on decrease complication, enhance operative success rate and long term survival rate.
出处
《中国普通外科杂志》
CAS
CSCD
1999年第4期248-250,共3页
China Journal of General Surgery
关键词
胃肿瘤
腺癌
多脏器联合切除
STOMACH NEDPLASMS/SU ADENOCARCINOMA/SU SPLENECTOMY PANCRE ATECTOMY
