Analysis of 84 Total Gastrectomy Patients with Advanced Gastric Cancer

Objective To approaeh the indicators of total gastrectomy,the removal range and the effect of modulity of reestablishing peptic tract after total gastrectomy on servival quality.Methods Retrospectively analysing clinical data of 84 total gastrectomy cases.Results In 84 cases there are 55 males and 29 females aging from 27 to 73.9 adical total gastrectomy was performed for 73 patients,palliative total gastrectomy was performed for 11 patients.22 patients had postoperative complications(26.19%),operative mortality rate is 2.38%(2 cases died).The survival rate in 1,3 and 5 years after operation are 90.48%(76/84),45.33%(34/75),27.59%(16/58),respectively.Conclusions The total gastrectomy is an important and effective operative modulity for treating gastric cancer.The operative indicators and removal range are based on patient′s age and nutrient condition.The modulity of re-establishing Peptic tract is associated with the postoperative complications and survival quality.The postoperative accessory treatment will increase the postoperative long-team servival rate.