贲门癌根治术两种术式361例分析

ANALYSIS OF 361 CASES OF CANCER OF THE CASTRIC CARDIA RADICALLY CURED THROUGH 2 OPERATIVF MODES

我院自1984年6月建院至1988年6月共收治贲门癌441例,其中做贲门癌根治术361例,分别经胸和胸腹联合两种术式进行手术,这两种术式优劣及效果目前仍有争论。文章在基本相同的条件下两组进行对比,也阐明了经胸腹术式能彻底清除转移淋巴结,并能提高贲门癌的生存率。

From June 1984 to June 1988, operations for the radical cure of carcinoma of the gastricc cardia totallng 361 cases were performed in our institution using the transthoracic mode (Mode Ⅰ or the(transabodominothoracic mode, (Mode Ⅱ). BY comparison, Mode Ⅱ was superior to mode Ⅰ, for it could thoroughly clear the metastasis to the lymph nodes. The 3-year survival rate seen in the stage-Ⅲ patients of the Mode—Ⅱ group was significantly higher that seen in the Mode—Ⅰ group. This differnce was even more apparently shown by patients at the Ⅳ stage. We are of the opinion that the cure rate of cancer of the gastric cardia at stages Ⅱ, Ⅲ, and Ⅳ can be expected to raise when Mode—Ⅱ operation is followed.