贲门癌不同手术术式治疗的临床分析

目的探讨进展期贲门癌采用不同术式与生存率、生物特性、切口选择及并发症的关系。方法393例贲门癌中全胃切除术148例,近端胃大部切除术213例,手术切除率为91.1％,根治性手术切除率为86.1％。分析不同术式中组织病理、分型、分期、切口选择、并发症及生存率的情况。结果不同术式与组织病理、并发症无明显相关,与分型、分期有一定相关.生存率相近。结论对贲门癌患者应该综合多因素进行个体化处理,合理选择符合患者的术式。

Clinical analysis of different surgical procedures for cardiac cancer

Objective To investigate the relationships between different surgical purcedures and the incision types,biological characteristics of the cancer,postoperative complications and survival.Methods The data of 393 patients with cardiac cancer were reviewed. 148 patients underwent total gastrectomy, and the other 213 patients proximal subtotal gastrectomy. The surgical resection rate was 91.1% , and radical resection rate was 86.1 % . The pathological changes, gross types and complications for different operative procedures were analyzed. Results There were no significant correlations between surgical procedures and pathological changes,postoperative complications , or survival. The selection of surgical procedures was related to TNM stage and histological types of the cancer. The preference of the incision type was decided by other factors. Conclusions The surgical procedures for patients with cardiac cancer should be determined by clinicopathological characteristics and be individualized.