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作者报道在1964~1978年间281例侵犯邻近器官的胃癌患者手术治疗的效果.这类患者占所有手术治疗的胃癌患者的10%,均经术中肉眼观察明确诊断.其中129例行胃及受侵器官的联合切除(完全性切除),152例仅行胃切除或辅以侵犯器官的部分切除(不完全性切除).作者将胃癌腹膜转移、肝转移和广泛淋巴结转移定为不可治疗因素.根据这一标准,将281例分A、B两组.A组92例,无不可治愈因素,并彻底清扫一、二、三站受累淋巴结.B组189例,具有不可治愈因素或第三、四站转移淋巴
The authors reported the effect of surgical treatment of 281 gastric cancer patients who invaded adjacent organs between 1964 and 1978. These patients accounted for 10% of all surgically treated patients with gastric cancer. All patients underwent macroscopic observation during the operation to confirm the diagnosis. Among them, 129 cases were treated with stomach and stomach. Combined resection of invasive organs (complete resection), 152 cases were performed only with gastrectomy or with partial resection of invading organs (incomplete resection). The authors identified peritoneal metastasis, hepatic metastasis, and extensive lymph node metastasis as irreversible factors. According to this standard, 281 cases were divided into A and B groups. 92 cases in group A had no incurable factors and thoroughly cleaned the lymph nodes in the first, second, and third stations. 189 patients in group B had incurable factors or third, Four-station lymph node