贲门癌的外科治疗结果

总结贲门癌的手术治疗结果,探讨影响预后的因素。方法 对１８３２例患进行了单因素分析,生存率用寿命表法计算,差异的显性采用Ｌｏｇｒａｎｋ检验。结果 本组切除率７６．３％,根治切除率５３．４％。５年生存率：切除术２３．５％,根治性切除术２９．９％．

Surgical treatment results for carcinoma of the gastric cardia in 1832 cases

OBJECTIVE: To evaluate the results of surgical treatment for carcinoma of the gastric cardia and the prognostic factors. METHODS: The prognostic factors were assessed with 5-year survival rates which was estimated using life table method in 1832 cases. The difference between groups was assessed by the log rank test. RESULTS: The overall resection rate was 76.3% and the radical resection rate 53.4%. The overall 5-year survival rate was 23.5% while in patients treated with curative resection it was 29.9%. The 5-year survival rate was 29.4% in patients received preoperative radiation and 21.5% in patients treated with surgery alone (P > 0.05). Patients whose upper margin of resection was longer than 5 cm away from the tumor had higher 5-year survival rate (25.8%) than those with margin of resection less than 5 cm (18.4%). The difference was statistically significant (P < 0.05). CONCLUSION: Preoperative radiation can increase the survival rate, but it was not statistically significant. Increasing the margin of resection to > 5 cm can improve survival.