经腹全胃切除术治疗高龄贲门癌患者38例临床分析  

Clinical Analysis on 38 Senile Cases of Cardiac Carcinoma with Total Gastrectomy

作　　者：张建民[1] 杜同海[1] 

机构地区：[1]河北省邯郸市第一医院外三科,056002

出　　处：《医学研究杂志》2009年第5期103-104,2,共3页Journal of Medical Research

摘　　要：目的探讨治疗高龄贲门癌患者的手术方法。方法回顾性分析了38例高龄进展期贲门癌患者经腹全胃切除术,术后随访时间1～5年。结果全组无手术死亡及吻合口漏发生。随访1、3、5年生存率分别为73.68%、52.63%和22.86%。结论进展期高龄贲门癌患者经腹全胃切除术选择恰当的消化道重建方式有利减少并发症且远期效果良好。Objective To explore the operative methods for senile patients with cardiac carcinoma. Method 38 senile patients with cardiac carcinoma in developing stage and administered total gastrectomy were analyzed and 1 - 5 years follow - up were given. Resuits No operation induced death and no anastomosis fistular occured and the 1, 3, and 5 - year survival rates were 73.68% , 52.63% , and 22.86% respectively. Conclusion Laparotomy might be the optimal treatment to the senile patients with cardiac carcinoma. Reconstruction of digestive tract might be suitable for most of the senile patients with developing cardiac carcinoma. Total gastrectomy may diminish the occurrence of Complications and may give a better long - term survival rate.

关 键 词：贲门癌 手术 经腹全胃切除术 临床分析 

分 类 号：R735.2[医药卫生—肿瘤] R735.205[医药卫生—临床医学]