全胃切除治疗胃癌68例临床分析

Clinical analysis on 68 cases of total gastrectomy treatment for gastric carcinoma

目的总结手术治疗胃癌的经验。方法对1999年4月至2004年4月共施行全胃切除治疗胃癌68例进行回顾性分析。结果根治性全胃切除52例,消化道重建术式RouxenY食管空肠吻合术。姑息性全胃切除16例,同时行右半结肠切除2例。手术死亡1例,手术死亡率为1.5%。结论对胃癌治疗主张扩大手术根治范围,全胃切除RouxenY食管空肠吻合是安全有效的治疗方法。

Objective To conclude surgery experiences of treating gastric carcinoma.Methods We analysed 68 cases of total gastrectomy treatment for gastric carcinoma during April 1999 to April 2004 retrospectively.Results There were 52 cured total gastrectomy patients,16 palliative gastrectomy patients,2 total gastrectomy together with right hemicolonecomy.There was 1 death in operation.The surgery death rate is 1.5%,which is lower than study reports.Digestive tract reconstruction Roux-en-Y esophagus-jejunum anastomosis.Conclusion We suggest to enlarge operation-cured dimension for gastric carcinoma treatment.Total gastrectomy Roux-en-Y esophagus-jejunum anastomosis is a safe and effective treatment.