Clinical efficacy analysis on radical operation of gastric cancer with liver cirrhosis
10.3760/cma.j.issn.1673-4203.2015.04.009
- VernacularTitle:胃癌合并肝硬化患者根治性切除的临床疗效分析
- Author:
Yunli ZHANG
;
Bing WANG
;
Wangxun JIN
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Liver cirrhosis;
Lymph node excision;
Gastrectomy
- From:
International Journal of Surgery
2015;42(4):244-246
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of radical operation for gastric cancer with liver cirrhosis.Methods The clinicopathological data of 56 gastric caner patients with liver cirrhosis performed on between Jan 2000 and Dec 2013 were analyzed retrospectively.Results The morbidity rate was 71％.The main complications of the group with liver cirrhosis were postoperative ascites (7 cases),delayed gastric emptying(6 cases),pulmonary infection(8 cases),intra-abdominal infection (5 cases),anastomotic leakage (3 cases).wound infection (2 cases)and,astrointestinal bleeding(1 cases).Postoperative complications of gastric cancer with liver cirrhosis were associated with age (＞ 60 yrs),Child-pugh grade(B),lymph node dissection(D2).There were no mortality.The 1-,3-and 5-year survival rates of the 56 cases were 73.2％,41％ and 26.7％.Conclusion Multi-disciplinary treatment,complete preoperative evaluation,correct perioperative management,individualized principle were the best mode on effective treatment of the patients with liver cirrhosis.
