摘要
目的:探讨进展期胃癌手术路径的合理选择以及手术技巧与并发症的预防。方法:回顾总结我院1985-1995年经根治性手术治疗的183例胃上部癌的临床资料,其中经腹手术20例,经胸或胸腹联合手术163例。结果:经腹手术在缩小手术创伤、减少出血量及手术并发症方面占有一定的优势,安全性较好,但亦有一定的局限性。结论:手术路径的选择主要应依据肿瘤的具体情况而定,合理掌握指征。对于非贲门胃上部癌、食管侵犯在2cm或以下者以及BorrmannⅠ、Ⅱ型的胃上部癌应优先考虑经腹路径的手术。
Objective To explore the reasonable selection of operative pathway, surgical skill, and prevention of complication in superior advanced gastric carcinoma. Methods One hundred and eighty-three patients with superior advanced gastric carcinoma received radical operation from 1985 to 1995 were reviewed. Twenty cases with abdominal incision and 163 cases with thoracotomy or abdomino-thoracic incision. Results The comparative analysis indicated that abdominal incision had an advantage in reducing operative injury, decreasing hemorrhage and complication. Conclusions Selection of operative pathway must depend upon tumour conditions. Although abdominal resection is a securer mode, but should be paid attention to the indications. On the condition of insuring radical treatment, especially for such cases of superior gastric carcinoma as non-cardiac part, oesophageal involvement ≤ cm or Borrmann Ⅰ - Ⅱ type, abdominal resection ought to be top-priority.
出处
《肿瘤防治杂志》
2003年第1期88-89,共2页
China Journal of Cancer Prevention and Treatment
关键词
进展期
胃上部癌
根治性手术
胃肿瘤
gastric carcinoma/surgery
abdomen/surgery
surgery
complication/prevention
