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目的探讨完整切除网膜囊对胃癌的治疗意义。方法回顾分析1999年至2002年期间我科收治的56例进展期胃癌根治术患者的临床资料,其中35例接受完整切除网膜囊的胃癌根治术,同期21例接受合适范围胃部分切除加淋巴结清扫术。利用1、2、3年累积生存率和死亡率评估两种术式的疗效。结果完整切除网膜囊组的1、2、3年累积生存率分别为84.8%,62.8%和39.9%;对照组1、2、3年累积生存率分别为70.8%、47.8%和17.2%,差异有统计学意义。两组术后3年累积死亡率分别为42.9%和51.4%,差异有统计学意义。结论完整切除网膜囊的胃癌根治对于提高手术疗效、减少癌残留、降低局部复发和提高进展期胃癌患者生存率方面有明显临床意义。
Objective To investigate the therapeutic effect of complete resection of omental sac on gastric cancer. Methods The clinical data of 56 patients with radical gastrectomy who undergone radical gastrectomy in our department from 1999 to 2002 were retrospectively analyzed. Among them, 35 patients underwent radical gastrectomy with complete resection of the omental sac and 21 patients underwent partial gastrectomy plus lymph node dissection Sweeping. The efficacy of the two procedures was evaluated using cumulative survival rates of 1, 2 and 3 years and mortality. Results The cumulative survival rates at 1, 2 and 3 years after complete resection of the omental group were 84.8%, 62.8% and 39.9%, respectively. The cumulative survival rates at 1, 2 and 3 years in the control group were 70.8%, 47.8% and 17.2% The difference was statistically significant. The cumulative three-year postoperative mortality rates were 42.9% and 51.4%, respectively, with significant differences. Conclusions The radical resection of gastric cancer with omentum resection has obvious clinical significance in improving the curative effect, reducing the residual cancer, reducing the local recurrence and improving the survival rate of patients with advanced gastric cancer.