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胃癌的切除率约65％,根治性切除率约45％,即为切除病例中的70％。胃下1/3的癌肿选用全胃切除或胃次全切除尚无定论。由于全胃切除术后的发病率和死亡率较高,并且无提高生存率的证据,常规采用胃次全切除被广泛地接受。然而,一些回顾性分析认为,由于胃癌的局部复发率高,且晚期胃癌约有20％为多中心癌灶,胃次全切除不足以控制胃癌。本文作者前瞻性分析比较根治性全胃切除(TG)和胃次全切除(SG)治疗胃窦癌的结果。
The resection rate of gastric cancer is about 65%, and the radical resection rate is about 45%, which is 70% of the resection cases. The use of total gastrectomy or subtotal gastrectomy for 1/3 of the gastric cancer is inconclusive. Because of the higher morbidity and mortality after total gastrectomy and without evidence of improved survival, routine subtotal gastrectomy is widely accepted. However, some retrospective analysis suggests that subtotal gastrectomy is not sufficient to control gastric cancer due to the high local recurrence rate of gastric cancer and about 20% of advanced gastric cancers are multicenter cancers. The authors prospectively analyzed the results of radical total gastrectomy (TG) and subtotal gastrectomy (SG) in the treatment of gastric antrum cancer.