胃癌联合脾胰体尾切除术的远期疗效

Late Result of Gastric Cancer Resection Combined with Pancreaticosplenectomy

目的 :研究胃癌联合脾胰体尾切除病例术后的远期疗效。方法 :统计50例胃癌患者联合脾胰体尾切除病例5年生存率并与未行脾胰体尾切除的病例进行比较。结果 :单纯胃癌根治术和胃癌联合脾胰体尾切除两组5年生存率无显著差异(t=0 83,P>0 05)。结论 :按肿块边缘距脾门的最近距离≤5 0cm、4s组淋巴结疑有转移或冰冻证实有癌转移、肿块呈浸润性生长并接近脾门指征 ,行癌肿联合脾胰体尾切除 (不包括全胃 ) ,可有效清除脾门区转移淋巴结 ,本组患者的远期疗效接近未行脾胰体尾切除组病例。比较两组生存期无显著差异(P>0 05)。

Objective: To study the late result of gastric cancer resection combined with pancreaticosplenectomy Methods: Fifty gastric cancers were resected combining with removal of involved pancreatico-splenic portion (including spleen and body/tail of pancreas) Results: It showed that this operation is indicated in the cases when the tumor is infiltrative type and within 5cm from the splenic hilum in addition to suspected or hisologically proven biopsied group and lymph node Postoperative infection of abdominal cavity was negligible however, the 5-year survival was favorable as compared with other advanced gastric cancer Conclusion: For reducing the metastatic rate of splenic hilum lymph node, gastric cancer resection combined with pancreaticosplenectomy is helpful