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目的探讨手术治疗胃癌的疗效和临床意义。方法对50例胃癌患者行根治性手术治疗。其中27例Ⅱ期胃癌行D2术,12例Ⅲa期胃癌行D3术,其中8例行全胃切除“P”型空肠襻代胃Roux-en-Y术(PR),11例Ⅲb期胃癌行D3+联合胰体、胰尾、脾脏切除术。术后以43℃低渗透压溶液双蒸馏水4000ml+5%洗必泰12～15ml腹腔灌洗。结果术后均随访1～5年。27例Ⅱ期胃癌患者1、3、5年生存率分别为88.9%、63.0%、44.4%,23例Ⅲ期胃癌患者1、3、5年生存率分别为82.6%、60.9%、39.1%。结论对胃癌患者应早期诊断,早期治疗,及时实施胃癌根治术并术中应用化疗,可以提高术后生存率。
Objective To investigate the efficacy and clinical significance of surgical treatment of gastric cancer. Methods Fifty patients with gastric cancer underwent radical surgery. Among them, 27 cases of stage II gastric cancer underwent D2 surgery and 12 cases of stage IIIa gastric cancer underwent D3 surgery, of which 8 cases underwent total gastrectomy with “P” -type jejunum on behalf of Roux-en-Y technique (PR) Gastric cancer line D3 + pancreatic body, tail, splenectomy. Postoperative 43 ℃ low osmotic pressure solution double distilled water 4000ml + 5% chlorhexidine 12 ~ 15ml intraperitoneal lavage. Results All patients were followed up for 1 to 5 years. The 1, 3, 5-year survival rates of 27 patients with stage II gastric cancer were 88.9%, 63.0% and 44.4% respectively. The 1, 3, 5-year survival rates of 23 patients with stage III gastric cancer were 82.6%, 60.9% and 39.1%, respectively. Conclusion Patients with gastric cancer should be diagnosed early, early treatment, timely implementation of radical resection of gastric cancer and chemotherapy during operation, can improve postoperative survival.