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首页> 外文期刊>BMC Cancer >The optimal extent of gastrectomy for middle-third gastric cancer: distal subtotal gastrectomy is superior to total gastrectomy in short-term effect without sacrificing long-term survival
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The optimal extent of gastrectomy for middle-third gastric cancer: distal subtotal gastrectomy is superior to total gastrectomy in short-term effect without sacrificing long-term survival

机译：中度胃癌的最佳胃切除术范围：远侧亚全胃切除术在不影响长期生存的短期效果上优于全胃切除术

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Background The optimal extent of gastrectomy for middle-third gastric cancer remains controversial. In our study, the short-term effects and longer-term survival outcomes of distal subtotal gastrectomy and total gastrectomy are analysed to determine the optimal extent of gastrectomy for middle-third gastric cancer. Methods We retrospectively collect and analyse clinicopathologic data and follow-up outcomes from a prospectively collected database at the Peking University Cancer Hospital. Patients with middle-third gastric adenocarcinoma who underwent curative resection are enrolled in our study. Results We collect data of 339 patients between January 2005 and October 2011. A total of 144 patients underwent distal subtotal gastrectomy, and 195 patients underwent total gastrectomy. Patients in the total gastrectomy group have longer operative duration ( P Conclusions For patients with middle-third gastric cancer, distal subtotal gastrectomy shortens the operation duration and postoperative hospital stay and reduces postoperative complications. Meanwhile, the long-term survival of patients with distal subtotal gastrectomy is similar to that of those with total gastrectomy at the same stage. The extent of gastrectomy for middle-third gastric cancer is not an independent prognostic factor for survival.
机译：背景技术中三分之一胃癌的胃切除术的最佳范围仍存在争议。在我们的研究中，分析了远端次全胃切除术和全胃切除术的短期效果和长期生存结果，以确定中度胃癌的最佳胃切除术范围。方法我们从北京大学肿瘤医院的前瞻性数据库中回顾性收集和分析临床病理数据和随访结果。接受根治性切除的中三分之一胃腺癌患者参加了我们的研究。结果我们收集了2005年1月至2011年10月之间的339例患者的数据。总共144例接受了远端次全胃切除术，而195例接受了全胃切除术。全胃切除术组患者的手术时间更长（P结论）对于中三分之一胃癌患者，远端次全胃切除术可缩短手术时间和术后住院时间，并减少术后并发症，同时，远端次全胃切除术的患者长期生存率较高。胃切除术与同期全胃切除术相似，中，三等胃癌的胃切除术程度并不是生存的独立预后因素。

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