摘要
目的 探讨贲门癌的手术方式。方法 全胃、脾及胰部份切除 69例、单纯全胃切除 10例。其中 71例经左侧胸腹联合切口完成手术 ,8例经腹部切口完成手术。消化道重建以空肠远近端侧侧吻合代胃。结果 术后死亡 5例 ,病死率 6.3 %。吻合口瘘 4例 ,切口感染 3例 ,脓胸 2例 ,术后并发症发生率 11.3 %。生存满 5年者 7例 ,5年生存率 8.8%。结论 对贲门癌患者经左侧胸腹联合切合作全胃切除有利于彻底清扫转移淋巴结 ,避免上切端癌肿残留、减少吻合口瘘。
Objective To discuss on the choice of total gastrectomy mode in the treatment of gastric cardiac cancers.Methods The analysis consists of 79 cases of gastric cardiac cancers,among them extended brunshwig total gastrectomy was done in 69 patients,single total gastrectomy in 10,thoracoabdominal approach in 71 and abdominal approach in 8.Braum enterostomy gastrectic replacement was undergone in the whole patients.Results 5 deaths resulted in a mortality of 6.3%.4 anastomotic fistulae,3 wound infections and 2 emphyemas resulted in a total complication rate of 11.3%.7 patients survived more than 5 years.Conclusion It is concluded that thoracoabdominal approach gives a wilds operative field necessitated in the thorough cleaning of the regional lymph modes and the anastomotic accident is accordingly reduced.Braum entersotomy gastroplasty is useful in the prevention of regurgiation oesophagitis.
出处
《河北医药》
CAS
2002年第11期878-879,共2页
Hebei Medical Journal
