胃癌侵犯邻近脏器手术切除的疗效评价  

Evaluation of surgical resection for gastric cancer ex-tending to adjacent Organs

作　　者：张祥福[1] 黄昌明[1] 殷凤峙[1] 卢辉山[1] 冯玉满[1] 吴天金[1] 郑知文[1] 吴心愿[1] 官国先[1] 

机构地区：[1]福建医学院附属协和医院肿瘤科

出　　处：《中华外科杂志》1995年第10期603-605,共3页Chinese Journal of Surgery

摘　　要：１９７２年６月～１９９３年１２月，共手术治疗２８０例胃癌侵犯邻近脏器的患者。第一组为胃癌和受侵犯脏器完全切除者９３例，第二组为胃癌和受侵犯脏器不完全切除者５５例，第三组为仅切除胃癌原发灶者１３２例。三组术后５年生存率分别为３２．７％、７．７％和８．２％。第一组５年生存显著高于第二组和第三组（Ｐ＜０．０５），第二组和第三组５年生存率相似（Ｐ＞０．０５）。作者认为对胃癌侵犯邻近脏器的患者，只要没有肝脏血行转移、腹膜种植和淋巴结广泛转移等不能治愈的因素，都应积极将胃癌和受侵犯脏器一并切除，以达根治目的；对有不能治愈因素存在者，则应争取切除胃癌原发灶，以提高生存质量和延长生存期。Abstract From June 1972 to December 1993,280 patientsunderwent surgical resection for their gastric cancerextending to adjacent organs. The patients were di-vided into three groups,Group A,93 patients, weretreated with gastrectomy plus complete removal of theinvaded organs。Group B,55 patients, underwent gas-trectomy with incomplete removal of the invadedorgans。Group C ,132 patients underwent gastrectomyonly,The 5 year survival rate of each group was32.7%,7.7%and 4.4%, respectively。The 5 yearsurvival rate in the group A was significantly higherthan that in two other 2 groups(P<0.05),The 5year survival rate in the group B and C was similar(P>0.05).The patients without incurable factors(livermetastasis,peritoneal dissemination and widespreadnodal involvement)underwent gastrectomy with com-plete excision of invaded organs, irrespective of thenumber or site of invaded organs。On the other hand,the patients with incurable factors should be given pal-liative gastrectomy only.Because symptoms are allevi-ated, the quality of life is improved and the survivaltime is prolonged.

关 键 词：胃肿瘤 外科手术 消化系统 预后 肿瘤转移 

分 类 号：R735.205[医药卫生—肿瘤]