根治性全胃切除治疗胃癌76例分析  

Analysis of 76 cases of gastric carcinoma by total gastrectomy

作　　者：岳晖[1] 

机构地区：[1]合肥市第八人民医院,安徽合肥230011

出　　处：《中外医学研究》2010年第27期11-12,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的探讨根治性全胃切除治疗胃癌的经验。方法随机收录76例采取全胃切除治疗胃癌的病例进行回顾性分析。结果围手术期死亡1例，均无吻合口及闭合口瘘，有输出袢梗阻1例，术后胸腔积液5例，肺部感染3例，左膈下积液1例。结论合理掌握联合脏器切除的适应证，选择合适的淋巴清扫范围及消化道重建方法，可有效提高胃癌手术疗效，并减少术后并发症。Objective To explore lhe excise the gastric carcinoma by total gastrectomy. Methods Retrospective analysis on 76 cases random collection of patients with gastric cancer treated with total gastrcctomy. Results 1 case for perioperative death,no one wlth anastomotic fistula or close mouth fistula,5 cases with pleural effusion and 3 cases with pulmonary infection and 1 case with left diaphragmatic fluid after the surgery. Conclusion With reasonable grasp the indications of multi - visceral resection,chooslng appropriate scope of leaning the lymph node and appropriate method of gastrointestinal reconstruction,it can effectively improve the efficacy of the gastric carcinoma by total gastrcctomy and reduce postoperative complications.

关 键 词：胃癌 全胃切除 淋巴清扫 联合脏器切除 消化道重建 

分 类 号：R473.73[医药卫生—护理学]