个体化方案治疗胃底贲门癌术式探讨

目的：探讨对胃底贲门癌手术路径的最佳方法,讨论手术操作要点及并发症的预防措施,评价经胸腹两种术式对患者的影响。方法：回顾性分析40例经胸胃底贲门癌根治术和102例经腹胃底贲门癌根治术患者的临床资料。结果：经胸手术40例,每例患者术中输血400-1000mL平均输血600mL。经腹个体化手术102例仅9例需输血平均400mL。手术后住院时间,经胸者为12-35d,平均16d。经腹手术者为10-20d,平均12d。两种手术方法切除标本病理学检查切端均无癌残留。结论：胃底贲门癌个体化手术,经腹效果较好。

Individualized Program of Surgical Treatment for Gastric Cardia Cancer

Objective： To investigate the best surgical approach for patients suffering from gastrocardiac cancer ,Transabdominal and transthoracic approaches were compared with each other in a variety of aspects.Method： We retrospectively analysed the clinical data ot 40 cases gastnc cardia canceroy transmoraclc re- section and 102 cases by transabdominal radical operation. Result： （1）The 40 cases of thoracic surgery patients after transthoracic surgery for every 400 - 1000mL average blood transfusion 600mL. Individual transabdominal surgery 102 cases on average only 9 patients required blood transfusion 400mL. （2）postopera- tive hospital stay, transthoracic were 12 to 35 days. An average of 16 days. Abdominal surgery was 10 to 20 days, average 12 days. （3） Both approaches reached the same satisfactory surgical result in terms of tumor- free cut edge on both end of the resected samples . Conclusion： Transabdominal incision is the ideal ap- proach of choice for individual surgery for gastrocardiac carcinoma.