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根治性次全胃切除术治疗进展期胃癌的评价

Evaluation of Subtotally Gastrectomy for Advanced Gastric Cancer

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【作者】 张凯孔令言

【Author】 ZHANG Kai,KONG Lingyan (Yuebei People’s Hospital of Shaoguan,Guangdong Shaoguan 512500,China)

【机构】 广东省韶关市粤北人民医院肿瘤外科

【摘要】 目的:观察次全胃切除治疗进展期胃癌病人生活质量,生存期及术后化疗耐受性的比较。方法:2001年1月至2006年12月确诊的Ⅱ、Ⅲ期胃癌病人,接受次全胃切除的根治性D2手术,术后行mFOLFOX6方案化疗。结果:全组病例5年生存率39%,术后并发症的发生率为16.7%,无手术相关性死亡,全部患者完成化疗,未发生化疗相关性死亡。结论:次全胃切除的根治性D2手术能给Ⅱ/Ⅲ期进展期胃癌患者带来较好的生存期和生活质量及化疗耐受性。

【Abstract】 Objective: To observe the quality of life,survival rate and the tolerance of chemotherapy of the patients with gastric cancer,who received the subtotal gastrectomy. Method: The patients which diagnosed the phase Ⅱ or Ⅲ gastric carcinoma received the subtotal gastrectomy of radical D2 operation,received the chemotherapy of the mFOLFOX-6 after the operation.From January 2000 to December 2006. Result:All of the cases,survival rate of 5 years was 39%,the incidence of postoperative complications was 17.1%,no operation related death,all patients completed chemotherapy,without the occurrence of chemotherapy related death. Conclusion: The subtotal gastrectomy of radical D2 operation can improve the quality of life,survival rate of five years and the tolerance of chemotherapy of the patients.

【关键词】 次全胃切除胃癌化疗
【Key words】 Subtotal gastrectomyChemotherapy
  • 【分类号】R735.2
  • 【被引频次】3
  • 【下载频次】36
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