论文部分内容阅读
目的探讨多脏器联合切除治疗进展期胃癌的价值。方法回顾分析了我科1998年1月至2003年11月期间的245例胃癌病人的临床资料。结果行普通胃癌根治术185例,胃癌根治并多脏器联合切除35例,姑息性切除25例。联合组与普通组相比手术时间较长(P<0.01),住院时间有所延长(P<0.01),并发症发生率较高(P<0.05)。两组术后复发率差异无统计学意义(P>0.05)。1年生存率普通组及联合组较姑息组明显提高,各组均无手术死亡病例。结论多脏器联合切除治疗增加了晚期胃癌根治切除的机会,提高了患者的生存时间,且治疗效果仍令人满意。
Objective To investigate the value of multi-organ combined resection for advanced gastric cancer. Methods The clinical data of 245 gastric cancer patients from January 1998 to November 2003 in our department were retrospectively analyzed. Results The routine radical gastrectomy in 185 cases, radical gastrectomy and multiple organ combined resection in 35 cases, palliative resection in 25 cases. The operation time was longer (P <0.01), hospital stay was longer (P <0.01) and the complication rate was higher in the combined group than in the normal group (P <0.05). There was no significant difference in recurrence rate between the two groups (P> 0.05). The 1-year survival rate was significantly higher in the general group and the combination group than in the palliative group, with no surgical deaths in each group. Conclusions Combined multiple organ excision increases the chance of radical resection of advanced gastric cancer and improves the survival time of patients, and the therapeutic effect is still satisfactory.