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1956～1989年我院手术治疗743例贲门癌,其中切除529例,探查214例。现就214例患者未能切除原因分析如下: 临床资料本组有143例术中所见肿物大侵润周围组织并固定而无法切除,占探查总数66.8％。50例淋巴结有多处多脏器广泛转移及合并腹水而不能清扫或清扫无意义,占探查总数23.4％。20例肝肺转移,其中肝转移18例,肺转移2例,占探查总数9.3％。因肝右叶过大手术不能通过膈肌进入腹腔而放弃1例,占探查总数0.47％。X光及手术长度与探查关系见附表。
From 1956 to 1989, 743 cases of cardiac cancer were surgically treated in our hospital, of which 529 cases were removed and 214 cases were explored. The analysis of 214 cases of unresectable patients is as follows: Clinical data There were 143 cases of large infiltrates in the surrounding tissue and were fixed and could not be removed, accounting for 66.8% of the total number of probes. 50 cases of lymph nodes with multiple organs and extensive metastasis and ascites without sweeping or sweeping were meaningless, accounting for 23.4% of the total number of probes. Twenty patients had liver and lung metastases, including 18 liver metastases and 2 lung metastases, accounting for 9.3% of total exploration. Due to the excessive operation of the right lobe of the liver, one case could not be given through the diaphragm into the abdominal cavity, accounting for 0.47% of the total number of probes. X-rays and the relationship between the length of the operation and the exploration are given in the attached table.