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我院1988年1月～1996年1月施行贲门癌根治术138例。其中经胸途径78例,经腹途径60例。切端癌残留前者3.9％,后者17.2％,二者有显著性差异。而1、3年生存率切端有癌残留患者,低于无残留患者。建议行贲门癌根治术以经胸或胸腹联合切口施术为佳。
In our hospital from January 1988 to January 1996, 138 cases of cardiac cancer radical surgery were performed. Among them, 78 cases were transthoracic and 60 cases were transperitoneal. The former had 3.9% of the residual cancer and the latter 17.2%. There was a significant difference between the two. The 1- and 3-year survival rates had residual cancer patients, which were lower than those without residual patients. It is advisable to perform a transthoracic or thoracoabdominal combined incision for radical gastrectomy.