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目的探讨进展期胃癌切除范围及腹腔脱落癌细胞问题。方法回顾性分析我院1996年至今26例进展期胃癌手术切除范围及综合处理临床资料。结果本组资料26例,全胃合并脾、胰尾切除6例,近端胃大部合并脾、胰尾切除3例,远端胃大部联合部分横结肠切除1例(约占38.46%),无手术死亡,明显提高手术切除率。结论胃癌根治术胃切除范围术前和术中结合起来综合判断更科学实用,进展期胃癌联合脏器切除术是科学合理可行的。防治腹腔脱落癌细胞应列为进展期胃癌根治手术常规。
Objective To investigate the resectability of advanced gastric cancer and the problem of abdomen cancer cells. Methods A retrospective analysis of our hospital from 1996 to date 26 cases of advanced gastric resection and comprehensive treatment of clinical data. Results The data of this group were obtained from 26 patients with total spleen and pancreatic tail resection in 6 cases. Most of the proximal part of the stomach combined with spleen and pancreas caudal resection in 3 cases. One case (38.46% No surgical death, significantly improve the surgical resection rate. Conclusion The scope of radical gastrectomy for gastric cancer combined with preoperative and intraoperative comprehensive judgment is more scientific and practical, advanced gastric cancer combined with organ resection is scientifically reasonable and feasible. Prevention and treatment of abdominal cancer cells should be classified as advanced gastric cancer surgery routine.