残胃癌25例外科治疗分析

Surgical Treatment of 25 Cases with Gastric Stump Carcinoma

目的分析和总结25例残胃癌的诊断与手术治疗结果。方法回顾性分析1992～2003年我院收治的25例残胃癌患者的临床表现及治疗情况，并对手术方法、术后生存率进行总结讨论。结果25例残胃癌1、3、5年生存率分别为60.2％、34.2％、18.16％，作根治性手术1、3、5年生存率分别为81.4％、48.2％、36.7％。结论残胃癌临床症状缺乏特异性，定期胃镜检查是早期诊断残胃癌的关键，根治性切除是外科治疗残胃癌最有效的手术方法。

Objective To analyze surgical diagnosis and treatment effect of 25 cases with gastric stump carcinoma. Methods The clinical manifestations and therapies of 25 cases with gastric stump carcinoma in our hospital from 1992 to 2003 were analyzed retrospectively. We sum up the surgical methods and postoperative survival rate. Results The postoperative survival rates of 1, 3 and 5 years in 25 cases with gastric stump carcinoma were 60.2%, 34.2% and 18.6% respectively, and were 81.4%, 48.2% and 36.7% respectively in cases treated with radical resection. Conclusion No specific symptoms were identified, endoscopy examination periodically is the key point to detect gastric stump carcinoma. Radical resection is the most effective surgical style for surgical treatment of gastric stump carcinoma.