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目的探讨残胃贲门癌的外科治疗效果。方法回顾性分析42例残胃贲门癌外科治疗的临床资料。手术切除40例,探查2例,根治性切除32例,姑息性切除8例,残胃切除空肠代胃术36例,贲门肿瘤切除余胃食管吻合术4例。结果手术切除率95.2%(40/42),无手术死亡,手术并发症11例(26.2%)。根治性切除32例中术后生存1年以上30例,3年以上18例,5年以上12例。1,3,5年生存率分别为93.8%、56.3%和37.5%。结论以外科手术为主的综合治疗是治疗残胃贲门癌的有效方法。
Objective To investigate the surgical treatment of gastric cardia cancer. Methods The clinical data of 42 cases of surgical treatment of gastric cardia cancer were retrospectively analyzed. Surgical resection in 40 cases, exploration in 2 cases, radical resection in 32 cases, palliative resection in 8 cases, gastric remnant gastrectomy in 36 cases, gastric cardia resection of gastric anastomosis in 4 cases. Results The surgical resection rate was 95.2% (40/42), no operative death and 11 complications (26.2%). Radical resection in 32 cases of postoperative survival for more than 1 year in 30 cases, more than 3 years in 18 cases, more than 5 years in 12 cases. The 1, 3, 5-year survival rates were 93.8%, 56.3% and 37.5% respectively. Conclusion The comprehensive surgical treatment is an effective method for the treatment of gastric cardia cancer.