【摘要】 目的　探讨高龄贲门癌的临床特点及采用管型吻合器经腹施行贲门癌根治术的临床价值。方法　回顾分析 1991～2 0 0 1年收治的 80例高龄贲门癌患者吻合器的治疗情况。结果　本组平均发病年龄 70岁 ,男女发病比例为 5∶1,平均病程 3 2个月。早期诊断率为 2 5 %。术前并存疾病的发生率为 60 %。应用吻合器经腹外科治疗 ,根治切除率 72 5 % ,姑息切除率 18 8% ,术后并发症发生率为 5 0 % ,住院院死亡率 1 2 5 % ,后两者明显低于胸腹联合手术 ,切除的 5年生存率为 2 0 %。结论　经腹部采用管腔式吻合器施行高龄贲门癌根治术 ,对患者呼吸循环系统影响小 ,可以降低手术风险 ,减少并发症。更多还原

【Abstract】 Objective To evaluate clinical features and the clinical application of radical transabdominal operation for the senile cardiac cancer by using the EEA(end-to-end anastomosis) stapler.Methods 80 senile patients underwent curative intent due to cardic cancer from 1991 to 2001,and the clinical effects of transabdominal operation for cardiac carcinoma by using the EEA stapler were investigated retrospectively.Results The average age of the patients was 70-year old, and the ratio of men to women was 5∶1. The average course of the disease was 3 2 months. Only 2 5% of the patients got early diagnosis, and the rate of the preoperative complications was 60%. Patients were treated by radical transabdominal operation by using stapler, and the rates of radical dissection and palliative dissection were 71 3% and 18 8% respectively. The incidence of postoperative complication was 5%, and the in-patient mortality was 1 25%, and the above indexes were significantly lower than those in the trans-thoracicoabdominal approach. The 5-year survival rate was 20% after gastrectomy.Conclusions This study showed that the approach exerted little effect on the respiratory and circulatory systems, and it could decrease the surgical risk and the incidence of diverse complications.更多还原