23例胃癌全胃切除术临床分析

Clinical analysis on 23 cases of gastric cancers with total Grastrectomy

目的探讨全胃切除治疗胃癌的意义及合理的消化道重建术式,总结胃癌手术治疗的临床经验。方法对2005年1月～2011年12月收治胃癌患者行全胃切除术23例的临床资料进行回顾性分析,术后随访时间1～5年。结果本组术后无1例死亡及吻合口漏等并发症发生,本组随访生存率1年以上72.73%,3年54.55%,5年18.18%。结论在严格掌握手术适应症和积极做好围手术期处理的情况下,对胃癌施行全胃切除术,合适的消化道重建,会减少并发症且远期效果良好。

Objective To probe the value of total gastrectomy and suitable reconstruction method and to summarize the clinical experience of the operative therapy for gastric cancers. Methods From January 2005 to December 2011, 23 patients with gastric cancers administered total gastreetomy were analyzed and 1~5 years follow--up were given. Results No operation death and no anastomosis fistular occur and the 1, 3, and 5--year survival rates were 72.73%, 54.55%, and 18.18 % respectively. Conclusions Laparotomy might be the optimal treatment to the patients with gastric cancers, reconstruction of digestive tract might be suitable for most of the patients with gastric cancers, total gastrectomy may diminish the occurrence ofcomplications and may give a better long--term survival rate.