摘要
我院外科自1983年～1994年收治残胃癌、残胃再发癌49例．其中残胃癌20例，残胃再发癌29倒．死胃癌切除率为70％（14／20），残胃再发癌为37．9％（11／29），总切除率为51％．首次术式BI式切除率为78.6％，BI式为60％，BI式较BI式切除率有明显差异P<0.01，残胃再发癌首次手术未淋巴结清扫者，淋巴结转移组明显增加，阳性率在23％以上．术式的选择及早期诊断对再次切除成功率极为重要。
20 cases with gastric stump cancer and 29 cases with recurrent carcinoma of remnant stomach were treated by reoperation in Zhejiang Cancer Hospital during 1983～1994,the overall rate of aretion was 51 %. The resection rate of gastric stump carcinoma was 70 % (14/20)and that of recurrent carcinoma of remnant stomach was 37. 9 % (11 /29). The rates of the modakty of first operation wete 78. 6% (Billorth Ⅱ )and 60% (Bllorth Ⅰ )respectively. There was a great differnce (p<0.01)between B Ⅱ and B Ⅰ. The rate of the nodal metastases was obviously increased in the cases of the first operations without lymphadenectomy (the Positive rate was over 23%). The result shows that the modahty of first operation and diagnosis in eaTIy stage are significantly important to the reoperation of gastric stump cancer and recurrent carcinoma of remnant stomach.
