胃癌根治术175例临床分析

A clinincal analysis of 175 cases with radical gastrectomy

目的 提高进展期胃癌手术治愈率。方法 回顾性分析 1993～ 1998年间我院施行的胃癌根治术 175例。结果 早期胃癌 16例 (9 1% ) ,进展期胃癌 15 9例 (90 9% )。D2术患者 12 2例。绝对根治率 (淋巴结清扫范围大于淋巴结转移范围 ) 5 9 8% (73/ 12 2 ) ,包括No 16在内的扩大淋巴清扫术患者 5 3例 ,绝对根治率 83% (4 4/ 5 3)。总体 5年生存率 30 5 % (2 1/ 6 9)。绝对根治术 5年生存率36 3% (16 / 44 ) ,相对根治术 (淋巴结清扫范围内有转移 ) 5年生存率 2 0 % (5 / 2 5 )。包括No 16清扫术在内的绝对根治患者 5年生存率 41 7% (5 / 12 )。结论 有选择性的施行包括No

Objective To investigate the effects of radical gastrectomy for the treatment of gastric carcinoma.Methods 175 cases of gastric carcinoma undergoing radical gastrectomy in our hospital from 1993 to 1999 were analyzed retrospectively. Results There were 16 cases (9 1%) with early stage, and 159 cases (90 9%) with advanced stage. 122 cases underwent D2 resection, and 53 cases with extended lymph node dissection. The absolute curative rate were 59 8% (73/122) and 83% (44/53) respectively. The total five year′s survival rate was 30 5% (21/69). The five years survival rate of absolute radical resection was 36 3%(16/44), and that of relative radical resection was 20% (5/25). The five year′s survival rate of the patients receiving absolute radical resection, including No 16 lymph node dissection was 41 7%(5/12).Conclusions It was reasonable and necessary to perform extended lymph node dissection with the clearance of No 16 lymph node in selected patients with advanced gastric carcinoma.