Diagnosis and surgical treatment of acute perforation of gastric cancer
10.3760/cma.j.issn.1673-9752.2009.04.015
- VernacularTitle:胃癌急性穿孔的外科诊断和治疗
- Author:
Hong WANG
;
Weiguo ZHAO
;
Liyang CHENG
;
Yanhua LI
;
Yuxin ZHANG
- Publication Type:Journal Article
- Keywords:
Gastric neoplasms;
Perforation;
Diagnosis;
Treatment
- From:Chinese Journal of Digestive Surgery
2009;8(4):287-289
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnosis, treatment and prognosis of acute perforation of gnstric cancer. Methods The clinical data of 24 patients with acute perforation of gastric cancer who had been admitted to Guangzhou General Hospital of PLA from July 1996 to December 2008 were retrospectively analyzed. Results Of all patients, 4 were treated by perforation repair, 2 by perforation repair combined with gastrojejunostomy, 11 by palliative subtotal gastrectomy, 2 by radical gastrectomy, and 5 by radical gastrectomy after perforation repair. The mean survival time of patients treated by perforation repair, perforation repair combined with gastro-jejunostomy, partial gastrectomy and radical gastrectomy were (4±5), (6±9), (12±7), and (25±9) months, respectively. Conclusions Early diagnosis and reasonable operation are the keys to decrease the morality and increase life quality for patients who suffered from acute perforation of gastric cancer. Different pathologic stages maybe an important factor in deciding the prognosis.
