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目的 :总结胃癌急诊根治手术治疗的经验 ,提高胃癌急诊根治手术治疗效果。方法 :胃癌患者 5例 ,均行急诊根治术治疗。结果 :全组无死亡病例 ,无术中及术后严重并发症发生。 1例存活 2年 ,死于腹腔的广泛转移 ;其余病例正在进一步随访之中。结论 :急诊胃癌根治术是安全可行的 ;术前诊断不明确的胃出血和穿孔病例 ,术中活检是必须的 ;术中误诊病例需要再次手术处理 ;术中必须注意无瘤原则的应用及化疗。
Objective: To summarize the experience of radical operation in gastric cancer and to improve the effect of radical operation in gastric cancer. Methods: Five patients with gastric cancer underwent emergency radical operation. Results: There were no deaths, no intraoperative and postoperative serious complications in the whole group. One patient survived 2 years and died of extensive metastasis to the abdominal cavity; the remaining cases were under further follow-up. Conclusions: Emergency radical gastrectomy is safe and feasible. Preoperative diagnosis of gastric bleeding and perforation is not clear cases, intraoperative biopsy is necessary; intraoperative misdiagnosis of patients need re-operation; surgery must pay attention to the application of tumor-free principles and chemotherapy .