gastric 英 [ˈgæstrɪk] 美 [ˈɡæstrɪk]
释义 adj. 胃的；胃部的
例句 But if you think gastric bypass surgery might be right for you, talk with your doctor.
adenocarcinoma 英 [ˌædnəʊˌkɑ:sə'nəʊmə] 美 [ˌædnoʊˌkɑ:sə'noʊmə]
释义 n. [肿瘤] 腺癌；恶性腺瘤
复数 adenocarcinomas或 adenocarcinomata
例句 This kind of adenocarcinoma is usually undifferentiated with early metastasis through lymph gland .
作者： Patrick J
Consensus treatment recommendations for resectable gastric tumors involves total or partial gastric resection to achieve negative margins and en bloc resection of ≥15 D1 and D2 lymph nodes.1-3 Patients with advanced disease or proximal tumors often require a total gastrectomy (TG) with Roux-en-Y reconstruction. These operations are associated with significant postoperative morbidity.4,5 Many have advocated for the application of minimally invasive (MIS) techniques to these procedures in an effort to reduce postoperative morbidity. Most comparisons of MIS and open approaches to gastrectomy are retrospective reviews of single institutional experiences with subtotal gastrectomy or distal gastrectomy evaluating small numbers of patients during time periods before implementation of robotic approaches. These studies have all varied considerably in their reporting of oncological outcomes including node counts, tumor staging, and resection margin status. Very few evaluate postoperative outcomes for TG and evaluate outcomes for longer than 30 days after the index procedure.6-9 The limitations on sample size and reporting of perioperative oncologic outcomes and the fact that robotic procedures are not included make it difficult to definitively assess the efficacy of the MIS approach. In the present work, we utilize the National Cancer Database (NCDB) to evaluate the independent effect of the MIS approach to TG on short-term perioperative oncologic and clinical outcomes and long-term overall survival (OS) in patients undergoing MIS or open TG for gastric adenocarcinoma between 2010 and 2015.