胃贲门癌经腹手术切除：附50 例报告

本文报告50例胃贲门癌经腹手术病人,其切除率为60％(30/50),术后并发症发生率为6％(3/50),没有手术死亡,所有病人都痊愈出院。术后经随访,1、3、5年生存率分别为77％(20/26),47.6％(10/21)和35.3％(6/17)。作者认为:胃贲门癌患者,如果具备以下条件之一者,应首选剖腹探查。1.高龄体弱,不能耐受开胸手术者;2.慢性呼吸系统疾病伴肺功能不全者;3.心血管系统疾病伴心功能不全者;4.X线钡检表现有软组织块影,膈肌增厚,腹段食管抬高或钡剂分流等某两种以上征象者;5.残胃贲门癌或上腹部曾有手术史者。

Resection of Carcinoma of the Gastric Cardia by Abdominal Approach Report of 50 Cases

Fifty patients with gastric cardiac cancer resected by abdominal approach were reported. The resection rate was 60% (30/50) and postoperative complications occur- red in 6% (3/50) of the cases. There was no operative death. The 1-, 3-, and 5-year survival rates were 77% (20/26), 47.6% (10/21) and 35.3% (6/17) respectively. The authors believe that exploration by abdominal approach should be given the first priority under any one of the following conditions: 1. patients too old or weak to stand trans-thoracic approach, 2. chronic respiratory diseases with impaired pul- monary function, 3. diseases of cardiovascular system with cardiac hypofunction, 4. roentgenological evidence of any two of the following filldings: shadow of tumor mass, diaphragmatic thickening, elevation of abdominal esophagus and diversion of barium-stream passage into stomach, 5. past history of tipper abdominal operation or cardiac cancer in gastric stump.