全胃切除治疗胃癌的临床体会  

TOTAL GASTRECTOMY IN THE TREATMENT OF GASTRIC CANCER-CLINIC EXPERIENCES

作　　者：崔海宁[1] 梁景星[1] 索南仁青[1] 

机构地区：[1]青海省人民医院肿瘤外科,西宁810007

出　　处：《癌症》1993年第5期427-429,共3页Chinese Journal of Cancer

摘　　要：作者对54例胃癌行全胃切除作了手术总结分析。男44例,女14例。本组全胃切除占同期胃癌手术的13.8％,5年生存率20.3％。根治切除的5年生存率为34.8％。术后并发症为12.9％,手术死亡率3.7％。着重对胃癌手术中全胃切除的合理应用、手术径路、脾胰体尾的联合切除,消化道重建等方面进行了讨论。全胃切除是胃癌治疗中一个重要的手段。Fifty-four cases of gastric cancer treated by total gastrectomy were analysed. Among them, 44cases were males and ufemales. The rate of total gastrectomy is 13.8% . Among all gastric cancer operation performed in the same period. Total five-year .survival rate was 20.3%, five year survival among patients after radical resection was 34.8%. Postoperative complication rate was 12 .9%. operation mortality was 3.7% . The proper use of the total gastrectomy in the treatment of gastric cancer was-discussed, and the access, the incision of spleen and pancreas body and tail, as well as the reconstruction of digestive tract were evaluated in this paper. Total gastrectomy has played an imporant role in the treatment of gastric cancer.

关 键 词：胃切除 癌 胃肿瘤 

分 类 号：R735.205[医药卫生—肿瘤]