16例残胃癌综合治疗探讨

Study on comprehensive treatment for sixteen cases of stump gastric cancer

目的探讨残胃癌手术及综合治疗方法。方法回顾分析我院16例残胃癌患者的手术方式及综合治疗疗效。结果本组12例(75.0%)有区域淋巴结转移,以第12组淋巴结转移率较高(50.0%)。采用残胃全切除和胃部分切除患者术后营养状态差异无显著性,随访1年生存率88.0%(14/16),3年生存率58.3%(7/12),5年生存率为30.0%(3/10)。结论残胃癌患者行根治性手术应采取全残胃切除术,重视第12组淋巴结清扫,辅以中西医结合综合治疗,增加摄入量,改善术后营养状况,可获得较好的疗效。

Objective To explore surgical comprehensive treatment for stump gastric cancer. Methods Sixteen patients suffering from stump gastric cancer were retrospectively analyzed for surgical procedures and efficacy of comprehensive treatment. Results Twelve （75.0%） cases developed regional lymph node metastasis, among which the 12th group of lymph node had the highest metastasis rate （8/16）. Patients undergoing partial or total gastrectomy had no significant difference in postoperative nutrition state. Survival rate was 88.0% （14/16） ,58.3% （7/12） and 30.0% （3/10）after 1 year,3 years and 5 years respectively. Conclusions Total gastrectomy should be performed in radical surgery for stump gastric cancer. Attention should be paid to clearing of the 12th group of lymph node. In addition, adjuvant treatment with combining Chinese medicine and Western medicine, and improving postoperative nutrition by increasing intake, may also improve therapeutic effectiveness.