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目的探讨胃癌根治术的手术方法及临床效果。方法回顾分析50例行胃癌根治术患者的临床资料。结果 50例患者均顺利完成手术,行全胃切除20例,远端半胃切除22例,近端半胃切除8例。手术时间120～180 min,术中出血200～400 ml,术后切口愈合良好,无严重并发症,无感染病例,无吻合口瘘发生,无死亡病例,平均术后10 d拆线,均痊愈出院,住院时间10～15 d。术后全部接受全身化疗。术后随访1年,存活率70%。结论胃癌根治术是行之有效的办法,操作简便、打开体腔单一,患者痛苦小,不但能完整地切除肿瘤,还能科学合理、完整地进行相关淋巴结的清扫,降低复发、转移率,提高生存率。
Objective To investigate the surgical method and clinical effect of radical operation of gastric cancer. Methods The clinical data of 50 patients undergoing radical gastrectomy were retrospectively analyzed. Results All 50 patients underwent successful operation. Total gastrectomy was performed in 20 cases, distal gastrectomy in 22 cases and proximal gastrectomy in 8 cases. The operative time was 120-180 min with intraoperative blood loss of 200-400 ml. Postoperative incision healed well without serious complications and without infection. No anastomotic fistula occurred and no deaths occurred. The average postoperative 10 days stitches were cured Discharged and hospitalized for 10-15 days. All patients underwent systemic chemotherapy. Follow-up 1 year after surgery, the survival rate of 70%. Conclusions Radical gastrectomy is an effective method. It is easy to operate, opens a single body cavity, and has less pain. It can not only completely remove the tumor, but also scientifically and completely clean the related lymph nodes, reduce the recurrence and metastasis, and improve survival rate.