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我院自1972年11月至1991年10月共为晚期贲门癌患者施行全胃切除术35例,减状手术23例。本文对两种手术的结果进行了比较,旨在为晚期贲门癌患者选择手术时提供参考。临床资料全胃切除组男性32例,女性3例·年龄26～66岁。经胸手术20例,经腹1例,胸腹联合切口14例。瘤体长径为10～25cm,侵犯胰腺21例,脾门11例、膈肌9例、肝左叶4例和革袋胃4例。进行脾切除10例,胰腺部分切除8例,同时切除脾和部分胰腺7例,肝左叶和部分膈肌切除各4例。消化道重建采用食管空肠端侧吻合,空肠与空肠侧侧吻合(Larhay氏手术)30例,Roux-en-Y
In our hospital from November 1972 to October 1991, 35 patients underwent total gastrectomy and 23 underwent degenerative surgery for patients with advanced cardiac cancer. This article compares the results of the two operations and aims to provide a reference for the selection of surgery for patients with advanced cardiac cancer. The clinical data of total gastrectomy group were 32 males, 3 females and 26 to 66 years old. There were 20 cases of transthoracic surgery, 1 case of abdominal and 14 cases of thoracoabdominal incision. The length of the tumor was 10-25cm, 21 cases of pancreas invasion, 11 cases of splenic portal, 9 cases of diaphragmatic muscle, 4 cases of left hepatic lobe, and 4 cases of leather bag stomach. Splenic resection was performed in 10 cases, partial resection of the pancreas in 8 cases, simultaneous removal of the spleen and part of the pancreas in 7 cases, and removal of the left hepatic lobe and partial diaphragm in 4 cases. Reconstruction of the digestive tract with esophageal jejunal end-to-side anastomosis, jejunal and jejunal side-to-side anastomosis (Larhay’s surgery) in 30 patients, Roux-en-Y