| Objective Tocomparatively studythe far and near term efficacy oftotal gastrectomy and proximal gastrectomy in the treatment of adenocarcinoma of the esophagogastric junction(AEG).Methods The clinical data of 45patients with AEG in the Second Department of General Surgery of Fifth People's Hospital of Fuyang of AnhuiProvincefrom June 2011 to March 2014were retrospectively analysed, including 23 cases of total gastrectomy group (group TG) and 22 cases of proximal gastrectomy group (group PG). The observation index included operation time, intraoperative blood loss, hospitalization time and complications asthe recent index, as well as the postoperative regurgitation, body mass index changes, 1 year and 3-year survival rate aslong-term target, then the curative effects of the two groups werecompared.Results There was no significant difference (P>0.05)in operation time, hospital time, postoperative complication rate, 1 year survival rate and 3-year survival ratebetween the two groups. There wassignificant difference in the incidence of reflux esophagitis and the increase in body mass index between the two groups(P<0.05).Conclusion Compared with proximal subtotal gastrectomy, the postoperative quality of life issignificantly improvedafter total gastrectomy for advanced AEG patients, which is a safe and satisfactory operation mode. |
