经腹贲门癌根治术55例治疗体会  

Analysis and experience in 55 cases of transabdominal approach for radical surgery of cardiac cancer

作　　者：童创[1] 王建国[1] 

机构地区：[1]合肥市第一人民医院肿瘤外科,230061

出　　处：《安徽医学》2008年第2期159-160,共2页Anhui Medical Journal

摘　　要：目的探讨贲门癌手术治疗的最佳术式。方法回顾性分析我院2002年至2007年55例经腹贲门癌根治术的临床资料及经验。结果本组无手术死亡病例。无吻合口瘘及狭窄,食道切缘阳性1例,返流性食管炎4例,胃排空障碍2例,术后平均住院12d,1年生存率78.1%,3年生存率47.3%。结论经腹贲门癌根治术可避免开胸并发症,手术效果满意,术后恢复快,可提高患者生存和生活质量。Objective To explore the optimal modus operandi for radical surgery of cardiac cancer. Methods Clinical data and experience of 55 cases with cardial cancer which underwent radical gastrectomy by transabdominal approach from 2002 to 2007 were investigated retrospectively. Results There was no operative mortality, anastomotic leakage, anastomotic stenosis. Cancer cells were found in the ineisal edge of the specimen only in one case. There were four cases of reflux esophagitis and two cases with disorder of stomach evaeuaiton. The average postoperative hospital days were 12 days, 1 -year survival rate of the patients was 78.1% and 3 - year survival rate was 47.3%. Conclusion Transabdominal approach for radical surgery of cardiac cancer which had satisfying effect and short postoperative hospital days can avoid complications of thoraeotomy one and improve the quality of life.

关 键 词：吻合口 贲门癌 根治术 

分 类 号：R735.2[医药卫生—肿瘤]