胃底贲门癌的手术治疗体会

Experience of Surgical Treatment for Cardiac Cancer

1987年至1996年本院采用扩大根治术式治疗胃底贲门癌68例,术后均进行随访观察。68例中存活半年者4例占5.9%,1年者16例占23.5%,3年存活率60.3%(41例),5年存活率10.3%(7例),结果表明改进手术进路,扩大淋巴结清扫站区,尽可能切除邻近受累脏器和癌灶范围是扩大根治,提高生存率的重要步骤。本文根据实践体会,着重对扩大根治有关问题进行讨论。

Author treated 68 patients with cardiac cancer with super-radical excision from 1987 to 1996. Among these patients,the 4 cases survived for 6 months (5. 9%),the 16 cases for one year (23. 5%) .the 41 cases for 3 years (60. 3%) .the 7 cases for 5 years (10. 3%). Author considers that the important measures to increase survival rate are improving operative path,expanding the areas of lymphadenectomy and removing infected focus as much as possible.