全胃切除治疗晚期贲门腺癌的疗效  

Results of Total Gastrectomy in the Treatment of Adenocarcinoma of the Cardia in Advanced Stages

作　　者：李泽坚[1] 徐乐天[1] 孙成孚[1] 吴良洪[1] 张志庸[1] 

机构地区：[1]协和医院

出　　处：《中国医学科学院学报》1990年第6期401-404,共4页Acta Academiae Medicinae Sinicae

摘　　要：在8年中对66例晚期贲门癌病人作了全胃切除手术,手术并发症发生率7.5％,手术死亡率(1个月内)1.5％。术后1、3、4和5年生存率分别为69％,30.7％,20％及13.3％。术后生活质量有了改善。病理类型,淋巴结转移,切除不完全及术后采用化疗与否是影响术后生存时间的主要因素。对全胃切除术的指征及经胸全胃切除的优点进行了讨论。Over an 8 year period, 66 patients with adenocarcinoma of the cardia in advanced stages underwent total gaatrectomy. The operative morbidity rate was 7.5% and the post-operative mortality rate (1 month) was 1.5%. The post-operative 1,3,4, and 5 year survival rates were 69%,30.7%, 20% and 13.8% respectively. The quality of life after surgery was improved. Pathologic type,lymph node metastasis, incomplete resection and post-operative chemotherapy were the main factors influencing post-operative survival. Indications for total gastrectomy and the advantages of transthoracic total gastrectomy are discussed.

关 键 词：贲门腺癌 全胃切除 疗效 胃肿瘤 

分 类 号：R735.207[医药卫生—肿瘤]