全胃切除治疗胃癌虽有近百年的历史,但由于病死率高和远期生存率低等因素,致使部分作者对此术式持消极态度。近年来,胃癌高发区日本的一些学者.对胃癌生物特性及转移途径进行了深入的研究,主张对胃癌扩大根治范围,认为全胃切除仍不失为胃癌治疗的方法之一。我院1972年10月至1986年10月,其施行全胃切除治疗胃癌34例,现将诊治情况报告如下。临床资料 Although total gastrectomy for the treatment of gastric cancer has a history of nearly one hundred years, due to factors such as high mortality and low long-term survival rate, some authors have a negative attitude toward this surgical procedure. In recent years, some Japanese scholars in areas of high incidence of gastric cancer have conducted in-depth studies on the biological characteristics and metastatic routes of gastric cancer, and advocate that gastrectomy is still one of the methods for the treatment of gastric cancer. In our hospital from October 1972 to October 1986, we performed total gastrectomy for 34 cases of gastric cancer. We report the diagnosis and treatment as follows. clinical information