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目的对32例经腹全胃切除胃癌根治术病例临床回顾分析。方法回顾性分析3年内本院的32例全胃切除胃癌根治手术。结果根治性手术1年存活率82%,3年存活率54%;主要并发症有上腹不适,返流性食管炎,吻合口狭窄。用食管空肠Roux-en-y吻合可明显降低其发生率。其他常见并发症有贫血、腹泻、消瘦等。结论经腹全胃切除是治疗胃癌的一种重要术式;淋巴清扫范围、消化道重建方式的选择对临床治疗效果有重要意义。
Objective To retrospectively analyze 32 cases of radical gastrectomy for gastric cancer. Methods Retrospective analysis of 32 cases of total gastrectomy radical gastrectomy in our hospital within 3 years. The results of radical surgery 1-year survival rate of 82%, 3-year survival rate of 54%; the main complications of abdominal discomfort, reflux esophagitis, anastomotic stenosis. Roux-en-y esophageal anastomosis can significantly reduce the incidence. Other common complications are anemia, diarrhea, weight loss and so on. Conclusion Transabdominal total gastrectomy is an important technique for the treatment of gastric cancer. The range of lymphatic dissection and the choice of digestive tract reconstruction are of great significance for clinical treatment.