贲门癌全胃切除腹部与胸部不同切口治疗结果对比观察

Abdominal vs. Thoracic Approach in Total Gastrectomy for Proximal Gastric Cancer

作者报告收治贲门癌（含高位胃癌）行全胃切除术38例，其中行左下胸第8～10肋床切口手术22例，经上腹切口手术16例。两组治疗情况进行比较，从手术切口、手术并发症、病理检查结果及随访存活情况进行对比分析讨论，发现以左下胸切口组为优。胸切口组与腹切口组并发症发生率分别为9．0％与25．0％。5年生存率分别为23．8％与16．7％。故此认为：较晚期的贲门及近侧胃癌还是选用左下胸切口为妥。

Thirty-eight cases of proximal gastric cancer underwent total gastrectomy, on 22 of whom thoracic approach was used and 16 abdominal. It was found that the complication rates for thoracic and abdominal incisions were 9. 0% and 25 %,and that the 5-year survival rates were 23. 8% and 16. 7% respectively. Apparently thoracic approach has the advantages of less complications,better survival and simpler in technic. The authors suggest to use thoracic approach in total gastrectomy for proximal gastric cancer.