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| Comparison analyzing of cardia cancer by radical total gastrectomy and radical proximal gastrectomy |
| LI Peng YANG Weizhen▲ |
| Department of General Surgery, Center Hospital on Baoji City, Shaanxi Province, Baoji 721008, China |
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Abstract Objective To dicuss comparison of cardia cancer by radical total gastrectomy and radical proximal gastrectomy. Methods from March 2013 to September 2015, in Center Hospital on Baoji City, the clinical data of 86 cardia cancer patients were retrospective analyzed, they were divided into two groups by different operation methods, radical total gastrectomy group (43 cases) and radical proximal gastrectomy group (43 cases). The general situation of operation, living quality score before and after treatment, postoperative complications, 1 year survival rate of two groups were observed and compared. Results The operation time, intraoperative blood loss, postoperative exhaust time of two groups were compared, the difference was not statistically significant (P > 0.05). The daily activity ability, daily life state, health feelings, social support, life apperception score of two groups before treatment and after treatment were compared, the difference was not statistically significant (P > 0.05). The postoperative complications, postoperative recurrence rate and 1 year survival rate of two groups compared, the difference was not statistically significant (P > 0.05). The postoperative gastric tube flow of radical proximal gastrectomy group were higher than that of radical total gastrectomy group, the daily activity ability, daily life state, health feelings, social support, life apperception score of radical total gastrectomy group and radical proximal gastrectomy group after treatment were higher than those before treatment, the differences were statistically significant (P < 0.05). Conclusion The radical total gastrectomy and radical proximal gastrectomy of cardia cancer have good clinical effect, they can increase living quality of patients after treatment, the prognosis is good, it is worth to be used.
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