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目的提高近侧部胃癌的外科治疗水平,减少术后并发症。方法回顾性分析2003年2月~2005年2月51例近侧部胃癌经腹手术的治疗。结果近侧部有癌51例,切除率100%,其中全胃切除7例,吻合口狭窄3例。全组病例无吻合口瘘,无食管断端癌残留。结论近侧部胃癌经腹手术入路暴露良好,创伤小,痛苦少,适应证较宽。
Objective To improve the surgical treatment of proximal gastric cancer and reduce postoperative complications. Methods Retrospective analysis of 51 cases of proximal gastric cancer treated by abdominal surgery from February 2003 to February 2005. Results There were 51 cases of cancer in the proximal part and the resection rate was 100%. Among them, 7 cases underwent total gastrectomy and 3 cases had anastomotic stenosis. All patients without anastomotic leakage, no residual esophageal cancer. Conclusions Proximal gastric cancer is exposed by transabdominal approach, with less trauma, less pain and a broader indication.