残胃贲门癌及残胃再发贲门癌切除率的术前评估

Preoperative Evaluation of Resectebility Rate for Cardiac Cancer or Recurrent Cardiac Cancer of Remnant Stomach

探讨影响残胃贲门癌及残胃再发贲门癌手术切除率的相关问题,并对病灶于术前进行正确评估。自1989年至1997年我科共作该类手术40例,术前从(1)影像学检查;(2)基础病变对切除率的影响;(3)病人一般情况等方面进行术前评估。本组40例中,残胃贲门癌(A组)26例,切除率69%(18/26);残胃再发贲门癌(B组)14例,切除率85.7%(12/14),总切除率75%。结果提示,术前正确评估病灶极为重要,可提高手术切除率,减少开胸探查率。

To evaluate the resectebility rate of cardiac cancer or recurrent cardiac cancer in remnant stomach before operation. From 1987 to 1997. 40 cases with cardiac cancer or recurrent cardiac cancer of in remnant stomach underwent operation. Preoperative evaluation of resectebility rate was from three aspects: 1. examinations of image,2. basic disease,3. general condition of patient. In the 40 cases,cardiac cancer of remnent stomach (A group) was 26 cases recurrent cardiac cancer of remnant stomach(B group) was 14 cases,the resectebility rates of A and B group were 69%(18/26) and 85. 7%(12/14) ;the total rate was 75%(30/40). Preoperative e-valuation to focus is very important,it can rise the resectebility rate and reduce the exploratory operation.