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经腹胃上部癌手术方法改进探讨
引用本文:张崇耘.经腹胃上部癌手术方法改进探讨[J].中国医药指南,2008,6(19):15-17.
作者姓名:张崇耘
作者单位:四川省医学科学院附属医院外一科,641400
摘    要:目的探讨胃上部癌近端胃大部切除手术路径、手术方式的改进。方法回顾性分析1995至2005年普外科73例胃上部癌患者,术中行胃大弯侧非肿瘤浸润区剪裁、缝合成管状与食管残端行端侧吻合及幽门成形术。结果经腹路径在缩短手术时间,减少手术创伤、安全方面有一定的优势。该术式除发生术后吻合口狭窄等并发症外,无手术死亡病例发生。结论该术式减少了全胃切除的复杂性。73例胃上部癌患者手术切除率100%,其中行根治性近端胃大部切除63例(86.30%),姑息性切除10例(13.70%);随访3年生存率38.71%,5年生存率33.87%。

关 键 词:胃上部癌  手术路径  方法改进

The Investigation on the Superior Part Cancer Operation by Abdomen
ZHANg Chong-yun.The Investigation on the Superior Part Cancer Operation by Abdomen[J].Guide of China Medicine,2008,6(19):15-17.
Authors:ZHANg Chong-yun
Institution:ZHANG Chong-yun (The Affiliated Hospital of Sichuan Medical Science Academy; 641400 Jianyang City; Sichuan Province; China);
Abstract:Objective To investigate the improvement on the pathway during stomach cancer resection close to the top-stomach. Methods 73 stomach cancer cases during 1995-2005 were restropected. During operation, nontumour infiltration cut of greater curvature was made, following with suture operation into tubiform, end-to-end anastomosis with esophagus stamp and pyloroplasty was applied. Results Mer-abdomen pathway stomach operation has an advantage in shortening operation-time, decreasing operation wound. and increasing safety. Besides stoma stemostomin in the post-operation cases, there is no death case. Conclusion This method has decreased the complication of total gastrectomy. In all cases, the exairesis rata of stomach superior part cancer is 100%, including radical cure 63cases(86.30%),palliation resection10cases(13.70%.)During the follow-up period, survival rate of 3years is 38.71%, compared with 3.87%of 5 years.
Keywords:Stomach superior part cancer  Operation pathway  Improvement
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