多脏器联合切除治疗26例进展期胃癌

Combined Multiple Organ Resection in 26 Patients with Advanced Gastric Cancer

目的 评估多脏器联合切除治疗进展期胃癌的临床效果。方法 对 1 993～ 2 0 0 0年采用多脏器联合切除术治疗的2 6例进展期胃癌病人的临床病理资料进行回顾性分析。结果 手术后因肺动脉栓塞死亡 1例。生存者存活期均超过 8个月 ,中位生存期 1 6月 ,生活质量改善。结论 多脏器联合切除术治疗进展期胃癌手术死亡率较低 ,并发症发生率是可接受的。如加强围手术期处理 ,进展期胃癌施行多脏器联合切除可获得满意结果 。

Objective The aim of this study was to identify the effect of combined multiple organ resection for patients with advanced gastric cancer(AGC). Methods The clinical and pathological date were analysed retrospectively in 26 consecutive patients with AGC treated with combined multiple organ resection from 1993～2000. Results One case died with fatal pulmonary embolism postoperatively. Twenty-five patients survived over 8 months with the median survival time 16 months and life quality were improved. Conclusion Our study showed that combined multiple organ resection for patients with AGC can be performed with relatively low operative mortality and acceptable morbidity. With adequate perioperative care, satisfactory outcomes, a long survival and better life quality for patients with AGC can be achieved.