Surgical approach for upper gastric cancer / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
;
(12): 924-925, 2010.
Article
Dans Chinois
| WPRIM
| ID: wpr-237186
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the reasonable surgical approach for upper gastric cancer, surgical technique, and indications for combined resection of the spleen.</p><p><b>METHODS</b>Eight hundred and three patients with upper gastric cancer were operated in the Cancer Center of Sun Yat-Sen from December 1964 to December 2004, including 341 cases undergoing abdominal incision and 462 thoracotomy or abdomino-thoracic incision. Clinical data were analyzed retrospectively.</p><p><b>RESULTS</b>The operative time was significantly shorter in the abdominal incision group (170 vs. 220 min, P<0.01), as was the transfusion volume (200 vs. 650 ml, P<0.05). Positive resection margin was similar between the two groups (5.6% vs. 6.7%, P>0.05). There was no difference in overall postoperative complication rate (3.2% vs. 5.0%, P>0.05). Length of hospital stay was shorter in the abdominal incision group (21 vs. 26.6 days, P<0.05).</p><p><b>CONCLUSION</b>Selection of surgical approach should be based on the tumor characteristics. Abdominal incision should be the approach of choice where possible.</p>
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Tumeurs de l'estomac
/
Chirurgie générale
/
Études rétrospectives
/
Procédures de chirurgie thoracique
/
Abdomen
Type d'étude:
Étude observationnelle
Limites du sujet:
Adolescent
/
Adulte
/
Adulte très âgé
/
Aged80
/
Femelle
/
Humains
/
Mâle
langue:
Chinois
Texte intégral:
Chinese Journal of Gastrointestinal Surgery
Année:
2010
Type:
Article
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