| 胃癌患者手术治疗704例临床分析 |
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| 引用本文： | 常东民,马刚,张勇,王作仁,姬生威,李陕区.胃癌患者手术治疗704例临床分析[J].第四军医大学学报,2009,30(3):254-256. |
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| 作者姓名： | 常东民 马刚 张勇 王作仁 姬生威 李陕区 |
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| 作者单位： | 常东民,马刚,张勇,姬生威,CHANG Dong-Min,MA Gang,ZHANG yong,JI Sheng-Wei(西安交通大学第一附属医院,肿瘤外科,陕西,西安,710061);王作仁,WANG Zuo-Ren(西安交通大学第一附属医院,肝胆外科,陕西,西安,710061);李陕区,LI Shan-Qu(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)
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| 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0％．结论：治疗晚期胃癌的关键是根治性手术．
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| 关 键 词： | 胃肿瘤 外科学 手术期间 外科治疗 回顾性分析 |
Surgical treatment for 704 patients with gastric cancer |
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| CHANG Dong-Min,MA Gang,ZHANG Yong,WANG Zuo-Ren,JI Sheng-Wei,LI Shan-QU.Surgical treatment for 704 patients with gastric cancer[J].Journal of the Fourth Military Medical University,2009,30(3):254-256. |
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| Authors: | CHANG Dong-Min MA Gang ZHANG Yong WANG Zuo-Ren JI Sheng-Wei LI Shan-QU |
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| Institution: | CHANG Dong-Min1,MA Gang1,ZHANG Yong1,WANG Zuo-Ren2,JI Sheng-Wei1,LI Shan-QU31Department of Surgical Oncology,2Department of Hepatobiliary Surgery,First Hospital,Xi'an Jiaotong University,Xi'an 710061,China,3Department of Out-patient,Tangdu Hospital,Fourth Military Medical University,Xi'an 710038 |
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| 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. |
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| Keywords: | stomach tumor surgery perioperative period surgical treatment retrospect analysis |
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