早期胃癌的外科治疗

Surgical treatment of the early stage gastric cancer

目的探讨早期胃癌的有效外科治疗方法。方法通过对５１例早期胃癌的临床资料进行回顾性分析。术中按癌原发灶部位的不同慎重选择胃切除范围并清扫相应第１站及第２站淋巴结。结果５１例病例中术后５～１０年死亡８例，另３例于术后４，５，７年复发，其中２例死于第２次手术后第２年和第３年。现仍生存４３例，生存时间为５～１０年。术后１，３，５年生存率均为１００％。结论早期胃癌的切除范围应足够，淋巴结清扫至第１站及第２站。

Objective To investigate the effective surgical treatment of early stage gastric cancer (EGC). Methods The clinical data of 51 cases of EGC were reviewed. The excision of large part of stomach dependent on the sites of lesions and the lymph nodes at the first and second stations was performed in all cases. Results Among them, 8 patients died 5～10 years after operation; other 3 cases relapsed in 4,5,7 years after operation, among them 2 patients died 2,3 years after the second operation respectively. Forty three patients were still alive, the survival time was 5～10 years after operation, and the survival rate of 1,3,5 years after operation was 100%, 100% and 100% repectively. Conclusions Enough resected extension of stomach for EGC cleaned lymph nodes at the first and second stations and assistant chemotherapy after operation are all demanded.