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全胃切除治疗胃癌142例体会
引用本文:蒋敦厚,梁楚强,黄艳,周明. 全胃切除治疗胃癌142例体会[J]. 现代医院, 2007, 7(7): 7-8
作者姓名:蒋敦厚  梁楚强  黄艳  周明
作者单位:1. 广州市天河区中心医院,广东广州,510665
2. 广西壮族自治区人民医院,广西南宁,532800
摘    要:目的分析和总结胃癌全胃切除术治疗经验。方法对本院142例胃癌病人采取全胃切除,其中根治性切除术110例,姑息性切除术32例。结果术后5年生存率为38.7%(55/142);术后并发症36例,无手术死亡。结论合理掌握全胃切除术及联合脏器切除适应证,选择合适的手术路径及消化道重建方式,提高手术操作技巧,是减少术后并发症的关键。

关 键 词:胃肿瘤  全胃切除术

EXPERIENCES IN THE TREATMENT OF TOTAL GASTRECTOMY FOR 142 PATIENTS WITH GASTRIC CARCINOMA
JIANG Dunhou, LIANG Chuqiang, HUANG Yan,et al.. EXPERIENCES IN THE TREATMENT OF TOTAL GASTRECTOMY FOR 142 PATIENTS WITH GASTRIC CARCINOMA[J]. Modern Hospital, 2007, 7(7): 7-8
Authors:JIANG Dunhou   LIANG Chuqiang   HUANG Yan  et al.
Affiliation:Central Hospital of Tianhe District, Guangzhou City, Guangdong Province 510665 PRC.
Abstract:Objective To summarize the experience of total gastrectomy for gastric carcinoma. Methods The clinical data of 142 cases of gastric carcinoma treated with total gastrectomy, 110 patients with radical excision, and 32 with palliative resection were reviewed respectively. Results The survival rates of them in the fifth years were 38.7%(55/142), 36 patients suffered from postoperative complications. No case died in operation. Conclusion Total gastrec- tomy is an effective operation for advanced gastric carcinoma. It can improve patients' quality of life and prolong their survival periods. Rational reconstruction of patient's digestive tract and intensive peri-operative care will decrease postoperative complications.
Keywords:Gastric carcinoma   Total gastrectomy
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