【摘要】 自1980—1985年3月共收治胃癌808例,行全胃切除根治术为60例(7.4％),全胃合并其他脏器切除12例,术后并发症4例,无一例死亡,随访率95％,三年存活率64.33％,五年存活率35.25％。 本文阐述了全胃切除术治疗胃癌比胃大部切除预后为好的三种理由,并介绍了我院常用的全胃切除后消化道重建的五种类型,经短期临床观察,以空肠插入代胃法较为理想。更多还原

【Abstract】 From 1980 to 1985, 808 cases of gastric cancer were treated in our hospital. Among these cases, 60 total gastrectomies were performed and 12 total gastrectomies combined with other organectonies. Postoperative complications were seen in four cases, but no death was occurred. The follow-up rate was 95%, the 3-Year survival rate was 64. 3% and the 5 - year survival rate was 35.3%.Thes result of total gastrectomy was better than subtotal gastrectomy, the rationality was discussed. In our hospital alimentary tract reconstruction after five types of total gastrectomy were used. After a shart period of observation we considered that the jejunum replacement tor the stomach was a better method更多还原