胃底贲门癌根治性切除与扩大根治性切除的疗效对比

目的 探讨胃底贲门癌根治手术的最佳范围。方法 对４１８例胃底贲门癌患者施行根治性手术,其中扩大根治性切除１９２例（扩大组）,Ⅰ期１１例,Ⅱ期４０例,Ⅲ期１２１例,Ⅳ期２０例,根治性切除２２６例,Ⅰ期１９例,Ⅱ期５３例,Ⅲ期１３１,Ⅳ期２３例。对２且２术后５、１０年生存率进行对照分析。结果 ２种术式的５、１０年生存率;Ⅰ、Ⅱ期患者相似,差异无显著性意义;而Ⅲ期患者扩大组５、１０年生存率较根治组分别提

Long-term therapeutic effects of extended radical resection and radical resection of cancer of cardia and stomach fundus

OBJECTIVE: To study the best range of radical resection in the treatment of cancer of the cardia and fundus of stomach. METHODS: 418 patients with cancer of the cardia and fundus of stomach underwent radical resection. Of them 192 were treated by extended radical resection (extended group), and 226 by radical resection (radical group). The 5-year and 10-year survival rates were followed up and compared in the two groups. RESULTS: Analysis failed to demonstrate significant difference between the two operations for TNM stage I and II (P > 0.05). For stage III, however, the 5-year and 10-year survival rates in the extended group increased by 14.2% and 15.9% as compared with those in the radical group (P < 0.05). The two groups survival rates were similar for stage IV (P > 0.05). CONCLUSIONS: To completely clean the lymph nodes of splenic hilus and artery and improve long-term survival rate, extended radical resection including spleen and body and tail of the pancreas should be recommended for stage III patients with cancer of the cardia and fundus of stomach when their serosa was involved or lymph node metastasis took place.