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1989年10月19日~21日在沈阳市召开的第四届全国胃癌外科学术会议上收到胃癌外科治疗有关论文106篇,在大会及分组会议的外科学组报告了外科治疗论文64篇,其中有33篇论文报告全胃切除治疗胃癌的有关问题,现将其内容按专题综述如下: 关于全胃切除治疗胃癌上海瑞金医院提出根治性全胃切除术不应作为全部胃癌病例的常规术式,然而也不否定在相当一部分病例中确有施行该术之必要。作者在对比类同的Ⅱ、Ⅲ期病例应用不同术式的分析中,根治性胃部分切除术后的5年生存率明显地高于全胃切除术(41.07%∶29.27%)。
From October 19th to 21st, 1989, at the 4th National Conference on Gastric Surgery, held in Shenyang City, she received 106 papers on surgical treatment of gastric cancer and reported 64 surgical treatment papers in the surgical group of the conference and subgroups. Among them, 33 papers reported the problems related to gastric cancer treated by total gastrectomy. The contents of this topic are summarized as follows: About total gastrectomy for gastric cancer Shanghai Ruijin Hospital proposed that radical total gastrectomy should not be used as a routine method for all gastric cancer cases. However, it does not deny that there is a need for this technique in a considerable number of cases. In the analysis of similar surgical procedures for stage II and III patients, the 5-year survival rate after radical partial gastrectomy was significantly higher than that of total gastrectomy (41.07%: 29.27%).