摘要
在8年中对66例晚期贲门癌病人作了全胃切除手术,手术并发症发生率7.5%,手术死亡率(1个月内)1.5%。术后1、3、4和5年生存率分别为69%,30.7%,20%及13.3%。术后生活质量有了改善。病理类型,淋巴结转移,切除不完全及术后采用化疗与否是影响术后生存时间的主要因素。对全胃切除术的指征及经胸全胃切除的优点进行了讨论。
Over an 8 year period, 66 patients with adenocarcinoma of the cardia in advanced stages underwent total gaatrectomy. The operative morbidity rate was 7.5% and the post-operative mortality rate (1 month) was 1.5%. The post-operative 1,3,4, and 5 year survival rates were 69%,30.7%, 20% and 13.8% respectively. The quality of life after surgery was improved. Pathologic type,lymph node metastasis, incomplete resection and post-operative chemotherapy were the main factors influencing post-operative survival. Indications for total gastrectomy and the advantages of transthoracic total gastrectomy are discussed.
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
1990年第6期401-404,共4页
Acta Academiae Medicinae Sinicae
关键词
贲门腺癌
全胃切除
疗效
胃肿瘤
total gastrectomy transthoracic total gastrectomy