胃癌患者接受手术的条件相对存活率:一项基于医院的队列研究
Hyeree Park1,2,3, Yo-Seok Cho4, Do Joong Park2,4,5
1Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
Journal of gastric cancer
|October 15, 2025
概括
胃切除后的条件相对存活率 (CRS) 在手术后的五年内显著改善,证明了手术程序的安全性,即使对于老年患者. 接受全胃切除术的患者可能需要扩大营养支持和护理.
科学领域:
- 在瘤学瘤学.
- 外科手术的结果
- 生物统计学 生物统计学
背景情况:
- 条件相对存活率 (CRS) 是评估术后预后的一个关键指标.
- 胃切除是胃癌的常见治疗方法,需要对长期结果进行评估.
- 了解胃外科手术后的生存趋势对于患者管理和医疗保健计划至关重要.
研究的目的:
- 评估胃切除后长达5年的5年条件相对存活率 (CRS).
- 为了评估胃癌患者的生存概率,与外科手术后的普通人群相比.
主要方法:
- 对15601名经过胃切除术的胃癌患者的分析 (1996-2018).
- 相对存活率 (RS) 的计算是观察到与预期存活率的比率.
- 根据手术后的生存里程碑来确定5年CRS.
主要成果:
- 五年后的CRS从1年后的87.2%增加到手术后5年后的95.4%.
- 第三阶段的癌症显示,CRS从53.2% (一年) 到85.2% (五年) 的大幅度改善.
- 80岁以上的患者有高5年CRS (99.4%),最近的手术表明早期结果更好. 总胃切除术与远端胃切除术相比,CRS的降低有关.
结论:
- 随着时间的推移,条件相对存活率有所改善,证实了胃切除的安全性,包括老年人.
- 仔细选择患者可以提高外科手术的安全性和结果.
- 全胃切除术患者可能需要长期的营养支持和专业护理.
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