联合脏器切除治疗进展性胃癌的临床分析  

Clinical analysis of combined multiple organ resection for treatment of advanced gastric carcinoma

作　　者：朱锦腾[1] 姚远[2] 杨春平[1] 凌勇[1] 宋小苑[1] 许文东[1] 

机构地区：[1]深圳市宝安区中医院外科,518300 [2]广东省人民医院外科

出　　处：《临床外科杂志》2010年第4期260-261,共2页Journal of Clinical Surgery

摘　　要：目的探讨多脏器切除在进展期胃癌手术中应用的指征及疗效。方法回顾性分析我院1997年1月至2007年1月手术治疗的60例进展期胃癌的临床资料。对不同性质手术结果进行分析。结果60例中多脏器切除手术35例，姑息性手术25例。多脏器切除的患者平均存活时间2年，而姑息切除患者平均存活时间0．8年，两者比较差异有统计学意义（P〈0．01）。结论在进展期胃癌手术中严格掌握多脏器切除的指征，注重患者围手术期支持，并不增加手术并发症及死亡率，而能明显延长患者的生存期。Objective To investigate the indication and efficiency of combined multiple organs resection for the treatment of advanced gastric carcinoma. Methods The clinical data of 60 patients with advanced gastric carcinoma who underwent surgical treatment in our hospital from Jan. 1997 to Jan. 2007 were reviewed retrospectively. The results of different operative approaches were analyzed. Results Combined multiple organ resection was performed in 35 cases, and palliative carcinoma resection in 25 cases. The 1 - year,2 - year and 3 - year survival rates in the combined multiple organ resection group were higher than those in the palliative resection group （P 〈0. 05）. Conclusion If the indications for combined multiple organ resection are strictly controlled, and more attention is paid to perioperative support, combined multiple organ resection can prolong the life span of the patients with advanced gastric carcinoma rather than increase the surgical complications and the mortality.

关 键 词：胃癌 联合脏器切除术 疗效 

分 类 号：R735.2[医药卫生—肿瘤]