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目的探讨分析开腹胃癌根治术治疗进展期胃癌的疗效及预后效果。方法对莱阳市第一人民医院收治的60例进展期胃癌患者,根治术前检査结果行近端胃大部分切除术、远端胃大部分切除术和胃全部切除术,观察术中、术后相关指标术后随访5年,评价预后效果。结果本组病例实施近端胃大部分切除术48例远端胃大部分切除术4例,全胃切除术8例,近端胃大部分切除术各项观察指标均优于远端胃大部分切除术和胃全部切除术3种手术方式术后均有较高的并发症发生率术后1年生存率均在90%以上,5年生存率达50%以上术后预后效果良好。结论开腹胃癌根治术治疗进展期胃癌手术手术时间长,术中出血量多术后并发症多,但预后效果良好,寻求新的手术方式势在必得。
Objective To investigate the curative effect and prognosis of open radical nephrectomy for advanced gastric cancer. Methods Sixty patients with advanced gastric cancer admitted to First People’s Hospital of Laiyang City underwent radical resection of the proximal gastrectomy, distal gastrectomy and total gastrectomy. Postoperative follow-up of relevant indicators after 5 years, evaluation of prognosis. The results of this group of patients underwent proximal gastric resection in 48 cases of most distal resection of the stomach in 4 cases, total gastrectomy in 8 cases, most of the resection of the proximal gastrectomy were better than most of the indicators of the distal part of the stomach Surgical resection and gastric resection of the three surgical methods have a higher incidence of complications after 1-year survival rates were 90% or more, 5-year survival rate of 50% or more prognosis of good results. Conclusions Open radical gastrectomy is a long-term surgical procedure for advanced gastric cancer. There are many complications after operation, but the prognosis is good. It is imperative to seek a new surgical approach.