摘要
目的 总结联合脏器切除术治疗进展期胃癌的经验。方法 对 1994年 8月至 2 0 0 1年 11月施行联合脏器切除的 137例进展期胃癌的临床资料进行回顾性分析。结果 联合肝切除11例 ,脾切除 2 5例 ,横结肠切除 13例 ,胆囊切除 15例 ,副肾上腺切除 4例 ,脾、胰体尾切除 38例 ,胰十二指肠切除 13例 ,其他手术 18例。手术死亡率为 0。随访 1年、3年和 5年生存率分别为 6 0 2 %、2 6 3%和 16 6 %。结论 严格选择手术适应证 ,联合切除受累脏器可提高胃癌的根治性和患者的生存率。
ObjectiveTo evaluate the rationale of combined evisceration for the treatment of advanced gastric cancer.MethodsThe clinical data of 137 cases with advanced gastric cancer treated with combined evisceration from 1994 to 2001 were analyzed retrospectively.ResultsEleven cases underwent combined hepatectomy, 25 cases with splenectomy, 13 with transverse colectomy, 15 with cholecystectomy, 4 with auxiliary adrenalectomy, 38 with splenectomy plus distal pancreectomy, 13 with pancreatoduodenectomy, 18 with other adjecent evisceration. The operative mortality rate was nil. The 1-,3-,5-year survival rate were 60.2%,26.3% and 16.6% respectively.Conclusions Combined evisceration for treating advanced gastric cancer was feasible and yielded a longer survival.
出处
《中华普通外科杂志》
CSCD
北大核心
2003年第6期342-344,共3页
Chinese Journal of General Surgery
基金
中山医科大学"2 11工程"重点学科建设项目基金( 980 97)
