摘要
目的 探讨胃癌合并肝硬化患者根治性切除手术临床疗效.方法 对2000年1月-2013年12月收治的56例胃癌合并肝硬化患者行胃癌根治术的临床资料进行回顾性分析.结果 术后并发症发病率为64%.主要有顽固性腹水7例,肺部感染8例,胃排空延迟6例,膈下感染5例,吻合口瘘3例,切口感染2例,腹腔出血1例.术后并发症发病率与年龄(> 60岁)、淋巴结清扫范围(D2)和肝功能Child-Pugh分级(B级)有关(P<0.05).本组无围手术期死亡.1、3、5年生存率分别为73.2%、41%和26.7%.结论 多学科协作、完善的术前评估、正确的围手术期处理、实行个体化手术方案、胃癌合并肝硬化患者根治性切除可达到预期的效果.
Objective To investigate the clinical efficacy of radical operation for gastric cancer with liver cirrhosis.Methods The clinicopathological data of 56 gastric caner patients with liver cirrhosis performed on between Jan 2000 and Dec 2013 were analyzed retrospectively.Results The morbidity rate was 71%.The main complications of the group with liver cirrhosis were postoperative ascites (7 cases),delayed gastric emptying(6 cases),pulmonary infection(8 cases),intra-abdominal infection (5 cases),anastomotic leakage (3 cases).wound infection (2 cases)and,astrointestinal bleeding(1 cases).Postoperative complications of gastric cancer with liver cirrhosis were associated with age (〉 60 yrs),Child-pugh grade(B),lymph node dissection(D2).There were no mortality.The 1-,3-and 5-year survival rates of the 56 cases were 73.2%,41% and 26.7%.Conclusion Multi-disciplinary treatment,complete preoperative evaluation,correct perioperative management,individualized principle were the best mode on effective treatment of the patients with liver cirrhosis.
出处
《国际外科学杂志》
2015年第4期244-246,共3页
International Journal of Surgery
关键词
胃肿瘤
肝硬化
淋巴结切除术
胃切除术
Stomach neoplasms
Liver cirrhosis
Lymph node excision
Gastrectomy