进展期贲门癌60例手术治疗体会

目的探讨进展期贲门癌的外科手术治疗。方法对60例进展期贲门癌患者施行全胃切除及D2以上的淋巴结清扫,分析贲门癌浸润胃壁深度与淋巴结转移、淋巴转移与术后累积生存率的关系。结果本组贲门癌患者术后3年、5年累积生存率分别为46.2%和35.1%;总的淋巴结转移例数为45例,转移率为75%,随着肿瘤浸润深度的增加,淋巴结转移率增加;本组贲门癌患者术后并发症发生率与病死率分别为13.3%和1.67%。结论对进展期贲门癌患者只要条件许可应施行根治性全胃切除(D2+术式)并进行淋巴清扫,必要时联合脾、胰体尾整块切除,以提高生存质量和延长生存期。

Experience of surgical treatment of advanced cardiac surgery 60 cases

Objective To investigate the progression of cardiac surgery.Methods Totally 60 patients with advanced gastric cardia underwent total gastrectomy and D2 lymph node dissection above,analysis of gastric cardia cancer invasion depth and lymph node metastasis,lymphatic metastasis and cumulative survival of patients after surgery.Results The cardiac patients after 3 years,5-year cumulative survival rates were 46.2% and 35.1%;The total number of cases of lymph node metastasis of 45 cases,the transfer rate of 75%,w...