胃癌患者手术治疗704例临床分析
Surgieal treatment for 704 patients with gastric cancer
常东民 1马刚 1张勇 1王作仁 2姬生威 1李陕区3
作者信息
- 1. 西安交通大学第一附属医院,肿瘤外科,陕西,西安,710061
- 2. 西安交通大学第一附属医院,肝胆外科,陕西,西安,710061
- 3. 西安交通大学第一附属医院,第四军医大学唐都医院门诊部,陕西,西安,710038
- 折叠
摘要
目的:总结手术治疗胃癌患者临床疗效.方法:回顾性分析1993/2008手术治疗胃癌患者704例临床资料.结果:入院手术治疗的胃癌患者多数为临床Ⅲ-Ⅳ期,并存重要器官并发症484例(68.8%),根治性切除手术544例(77.3%),姑息性切除96例(13.6%),复合手术128例(18.2%),主要消化道重建方式是Roux-en-Y,术后出现并发症344例(48.9%).根治性手术切除5a生存率为44.1%,姑息性切除为3.4%,复合手术切除为O%.结论:治疗晚期胃癌的关键是根治性手术.
Abstract
AIM: To summarize the clinical curative effect for the patients with gastric cancers. METHODS: We retrospectively reviewed data from 704 patients with primary gastric cancer treated with surgical procedures between 1993 and 2008. RESULTS : When first diagnosed, most patients under study were at clinical stage Ⅲ - Ⅳ and 484 (68. 8% ) patients were with chronic complications. Totally 544 (77. 3%) patients underwent complete resection, 96 cases (13. 6% ) palliative excision and 128 cases (18. 2% ) composite operation. The digestive tract reconstruction was mainly conducted by Roux-en-Y, and post-operation complications were found in 344 cases (48. 9% ). The 5-year-survival rate of the patients treated with complete resection was 44. 1% , palliative excision 3. 4% , but composite operation 0%. CONCLUSION: The most effective treatment for terminal gastric cancer is complete resection.
关键词
胃肿瘤/外科学/手术期间/外科治疗/回顾性分析Key words
stomach tumor/surgery/perioperative period/surgical treatment/retrospect analysis引用本文复制引用
基金项目
陕西省科技攻关项目(2008K09-03)
出版年
2009
NETL
NSTL
维普
万方数据