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近侧胃癌有关根治性手术范围的探讨(附399例分析) 被引量:24

Discussion on Radical Operation of Proximal Stomach Carcinoma,An Analysis of 399 Cases
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摘要 本文通过对1986年至1989年底手术切除的399例近侧胃癌的分析,认为对近侧胃癌(包括贲门癌)的治疗应抱积极态度,尽量做到R_2的根治术式及区域淋巴清扫。胃及食管切除上下切缘至少5cm以上,必要时行全胃切除,并认为直接从左胸第9肋床(甚或第10肋床)进胸的切口较为满意。手术总切除率82.5%,手术死亡率1.23%。 From 1986 to 1989,399 cases of proximal stcmach carcinoma were treated by radical operaticn.The authors thought that the proximal stomach carcinoma including cardiac carcinoma should be treated with due enthusiasm.R2 type resection and clearance of regional lymph nodes should be performed whenever possible.The excision should include more than 5 cm normal tissue away from tumor margin.If necessary,total gastrectomy should be done.The writers prefer to go in through the 9th or even 10th rib bed on the left side.The overall resection rate was 82.5% and the mortality late was 1.23%.
出处 《中国肿瘤临床》 CAS CSCD 北大核心 1992年第2期100-102,共3页 Chinese Journal of Clinical Oncology
关键词 根治性手术 切除 胃肿瘤 贲门癌 Proximal stomach carcinoma Radical operation
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