经腹手术治疗胃底贲门癌62例临床分析

THE CLINICAL ANALYSIS OF ABDOMINAL SURGERY IN 62 CASES OF GASTRIC CARDIA CANCER

目的探讨经腹手术治疗胃底贲门癌的可行性和临床应用价值。方法对胃底贲门癌经腹手术治疗62例患者的临床资料进行回顾分析。结果术后并发症发生率为22．6％，其中呼吸道感染7例，左膈下感染2例，吻合I：／出血1例，切口感染4例。术后病理上下切线均无癌残留。随访56例，平均随访4．5（2～8）年，术后1年、3年、5年生存率分别为81．3％（47／56）、73．2％（41／56）、53．5％（30／56）。无吻合口瘘及手术死亡等严重并发症发生。结论经腹手术治疗胃底贲门癌能够切除足够的食管和淋巴结，对患者呼吸循环系统影响小，可降低手术风险，减少肺部并发症发生。

Objective To explore the feasibility of abdominal surgery treatment of gastric cardia cancer and clinical application value. Methods The clinical data of the 62 patients with gastric cardia carcinoma following abdominal surgery were retrospectively analyzed. Results The incidence of postoperative compli- cations were 22.6% ,including 7 cases respiratory tract infection,2 cases infection under the left phrenic, 1 case anastomotic bleeding and 4 cases infection of incision. Postoperative pathology and tangent no residual cancer, no deaths occurred. In 2 to 8 years follow-up, the 1, 3, 5 year survival rates were 81.3%,73.2% and 53.5%. No complications such as anastomotic fistula and surgical deaths occur. Conclusion The ab- dominal surgery treatment of gastric cardia cancer can exsect long enough esophagus and the metastasis lymph nodes, has little impact on the patients＇ respiratory system, reduce the risk of surgery and the pul- monary complications.