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目的探讨胃癌的临床特点、手术方式的选择及围手术期的处理。方法回顾性分析2006年1月-2012年6月收治的38例(年龄21～82岁)胃癌患者手术治疗的临床资料。60岁以上的28例约占73.7%。结果 38例均进行了手术,行根治性(D2或D3)切除术27例(71.0%),行短路或造瘘手术8例(21.0%)术中见腹腔广泛转移,仅行腹腔探查,取活检病理3例(7.9%)。术后出现近期远期并发症7例(占18.4%)。围手术期死亡1例(占2.6%)。结论胃癌患者发现时多为临床Ⅲ～Ⅳ期,老年患者较多,多合并有多脏器慢性病变,还有一个特点就是发病的低龄化,合理选择手术治疗是提高胃癌患者生存率的关键。
Objective To investigate the clinical characteristics of gastric cancer, surgical options and perioperative management. Methods The clinical data of 38 patients (aged 21-82 years) with gastric cancer admitted to our hospital from January 2006 to June 2012 were analyzed retrospectively. 28 cases over the age of 60 accounted for about 73.7%. Results All 38 patients underwent radical resection (D2 or D3) resection in 27 cases (71.0%), short-circuit or ostomy in 8 cases (21.0%). Biopsy pathology in 3 cases (7.9%). Postoperative long-term complications occurred in 7 cases (18.4%). Perioperative death in 1 case (2.6%). Conclusions Most patients with gastric cancer were found to be stage Ⅲ ~ Ⅳ, many elderly patients were complicated with multiple organ diseases, and another characteristic was the younger age of onset. The rational choice of surgical treatment is the key to improve the survival rate of gastric cancer patients.