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目的 :探讨消化道类癌的外科治疗方法及其疗效。方法 :回顾 1975年 1月～ 2 0 0 2年 6月间在上海市徐汇区中心医院和复旦大学医学院附属中山医院外科进行手术的 4 8例消化道类癌病例 ,分析所有病例的肿瘤情况、手术方式和临床疗效。结果 :34例肿瘤直径小于 2 .0cm的病人经内镜下或经肛门电灼切除和局部扩大切除术后随访无 1例复发 ,14例肿瘤直径大于 2 .0cm的病人有 12例行肿瘤根治术 ,其中 3例术后出现转移而死亡 ,生存期为 11～ 4 8个月。另有 2例术中发现广泛转移无法切除 ,不到半年均死亡。结论 :肿瘤的大小与其预后有密切关系。直径小于 2 .0cm的肿瘤可以行电灼切除或局部扩大切除 ,对于直径大于 2 .0cm的肿瘤应尽可能行根治术 ,术后预后良好。
Objective: To investigate the surgical treatment of gastrointestinal carcinoid and its efficacy. Methods: Forty-eight cases of gastrointestinal carcinoid who underwent surgery in Xuhui District Central Hospital of Shanghai and Zhongshan Hospital Affiliated to Fudan University School of Medicine from January 1975 to June 2002 were retrospectively analyzed. Tumor status was analyzed in all cases , Surgical methods and clinical efficacy. Results: None of the 34 patients with tumors less than 2.0 cm in diameter underwent endoscopic or transanal resection and local enlargement resection showed that there was no recurrence in one patient. Twenty-two of 14 patients with tumor diameter greater than 2.0 cm had tumor radical Surgery, including 3 cases of postoperative metastasis and death, survival was 11 ~ 48 months. Another 2 cases found extensive metastases can not be removed, less than half a year of death. Conclusion: The size of the tumor is closely related to its prognosis. Tumors smaller than 2.0 cm in diameter can be resected by electrocautery or partially enlarged and resected. For tumors larger than 2.0 cm in diameter, radical resection should be performed as the prognosis is good.