38例胃癌患者的手术治疗分析

Analysis of Surgical Therapy in 38 Cases of Gastric Cancer

目的探讨胃癌的临床特点、手术方式的选择及围手术期的处理。方法回顾性分析2006年1月-2012年6月收治的38例(年龄21～82岁)胃癌患者手术治疗的临床资料。60岁以上的28例约占73.7%。结果 38例均进行了手术,行根治性(D2或D3)切除术27例(71.0%),行短路或造瘘手术8例(21.0%)术中见腹腔广泛转移,仅行腹腔探查,取活检病理3例(7.9%)。术后出现近期远期并发症7例(占18.4%)。围手术期死亡1例(占2.6%)。结论胃癌患者发现时多为临床Ⅲ～Ⅳ期,老年患者较多,多合并有多脏器慢性病变,还有一个特点就是发病的低龄化,合理选择手术治疗是提高胃癌患者生存率的关键。

Objective To investigate the clinical features of gastric cancer,the choice of surgical approach and perioperative treatment. Methods The clinical data of 38 cases（ aged 21 to 82 years） of gastric cancer from January 2006 to June 2012 were analyzed retrospectively. The age in 28 of them was more than 60 years. Results The surgical treatment were performed in all 38 cases,including radical（IY2 or D3） resection in 27 patients （71.0%）, short circuit procedures or ostomy surgery in 8 cases （21.0%） ,widely metastatic cancer was founded in the operation and abdominal exploration was performed to prepare biopsy in 3 cases（8.0% ）. Seven cases were with postoperative complications （ 18.4% ）. One case died （2.6%）. Conclusion The gastric cancer patients are commonly with multiple clinical stage Ⅲ to Ⅳ, most of them are elderly patients often combined with multiple organ chronic degenerative conditions. A reasonable choice of surgical treatment is the key to improve survival rate of patients with gastric cancer.