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首页> 外文会议>World Congress of the International College of Surgeons >Resection of Choice for Proximal Gastric Cancer for Non-invasive T1 Tumors in the Elderly
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Resection of Choice for Proximal Gastric Cancer for Non-invasive T1 Tumors in the Elderly

机译：老年人非侵袭性T1肿瘤的近端胃癌选择切除

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摘要

This is a report of clinical experience in the treatment of 11 elderly patients for proximal gastric cancer (PGC), stage T1, N1-O, M-0 in patients aged over 70 (70-85), average 76. All lesions were detected by gastric flexible endoscopy. Approximately 3/4 were located on the lesser curvature, near the esophagocardiac juncture. In 6 patients we have diagnosed protruding Type I, in 4 elevated Type IIa, and in 1 depressed Type IIc. According to the Lauren classification 9 patients had an intestinal histological presentation, while 2 were with a diffuse presentation, range 1.6cm to 2.8cm (average 2.2cm). For reconstruction, a gastric tube was used in 3 patients, isoperistaltic jejunal loop interposition (10cm long) in 5, and double tract in Roux configuration in the remaining 3. Duration of surgery for gastric tube reconstruction (120-245 min) was significantly shorter then jejunal interposition or Roux double tract (182 vs 337 min, p<0.01). No operative mortality was registered. Transitory heart problems occurred in 3 patients. During the 3 year follow up period, 82% survival rate in good health was registered after 2 years, and 62% after 3 years.
机译：这是在70多（70-85）岁的患者中，治疗11名老年胃癌（PGC），阶段T1，N1-O，M-0患者的临床经验报告。（70-85），平均76.检测到所有病变通过胃柔性内窥镜检查。大约3/4位于较小的曲率上，靠近食管接触。在6例患者中，我们已诊断为IIA型突出型IIA型，并且在1型抑郁型IIC中。根据劳伦分类9例患者进行了肠道组织学介绍，而2呈漫射呈现，范围为1.6cm至2.8cm（平均2.2厘米）。对于重建，在3例患者中使用胃管，在5例中，在5中的等rountaliCerald Jejunal Loop插入（10cm长），并且在剩余的胃管重建手术持续时间（120-245分钟）显着缩短然后Jejunal插入或roux双面（182 vs 337 min，p <0.01）。没有注册任何手术死亡率。 3例患者发生了短暂的心脏问题。在3年后续期间，2岁后，82％的健康存活率良好，3年后62％。

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