摘要
目的:探讨胃癌穿孔合理的术式选择。方法:胃癌穿孔24例,TNM分期Ⅱ期5例,Ⅲ期14例,Ⅳ期5例。穿孔修补5例(单纯穿孔修补3例,穿孔修补加胃空肠吻合2例),姑息切除(胃大部加大网膜切除)11例,根治性切除8例(D1淋巴结清扫6例,D2淋巴结清扫2例)。结果:治愈23例,病死1例。3种术式平均生存时间分别为5.6、15.2及28.2个月。结论:根治性胃癌切除加D1淋巴结清扫是胃癌穿孔合理的手术方式,对无根治条件者争取行姑息性手术切除。
Objective:To explore an appropriate procedure for treatment of acute perforation of gastric cancer.Methods:Twenty-four cases of perforated gastric cancer were included in the study.Among them,5 were in TNM stage Ⅱ,14 in stage Ⅲ and 5 in stage Ⅳ.Five cases were treated with repair of perforation(3 cases received simple repair of perforation,2 cases repair and gastrojejunestomy),11 cases with partial gastrectomy and great omentectomy,and 8 cases with radical resection(6 with clearance of lymph nodes in D1 and 2 with clearance in D2).Results:Twenty-three cases were cured and 1 case died.The median survival time of the patients treated with the 3 procedures was 5.6,15.2 and 28.2 months,respectively.Conclusions:Radical resection with D1 resection is the appropriate operative procedure for treatment of acute perforation of gastric cancer.For those who could not receceive radical resection,palliative resection is suggested.
出处
《蚌埠医学院学报》
CAS
2007年第6期678-680,共3页
Journal of Bengbu Medical College
关键词
胃肿瘤
穿孔
手术治疗
gastric neoplasms
perforation
operative treatment