残胃癌及残胃再发癌的临床特征和外科治疗(附27例分析)

Clinicopathological characteristics and surgical treatment of gastric stump cancer and recurrent gastric stump cancer

目的探讨残胃癌及残胃再发癌的临床特点、诊断和外科治疗。方法回顾性分析2000年2月～2005年6月27例残胃癌及残胃再发癌的病人。结果手术切除率为77.8%,根治切除率为59.1%,根治性手术后1年、3年和5年的生存率分别为75%、50%及37.5%。结论胃良性病行手术治疗时以B-I式为首选;定期胃镜检查残胃癌及残胃再发癌高危人群,早期诊断、早期治疗是提高残胃癌及残胃再发癌预后的关键;根治性手术是治疗残胃癌及残胃再发癌的有效方法。

Objective To explore the clinical features, early diagnosis and surgical treatment of gastric stump cancer and recurrentgastric stump cancer. Methods The data of 27 patients of gastric stump cancer and recurrent gastric stump cancer admitted from Feb. 2000 to June 2005 were studied retrospectively, analysed retrospectively. Results Removal rate was 77.8% and radical resection rate was 59.1%. The 1-, 3-, 5-year survival rate in those who under- went radical resection was 75 % , 50 % and 37.5 % respectively. Conclusions Billorth-I is the first choice for begin gastic lesion . Regular gastroscopic screening in high risk populations of gastric stump cancer and recurrent gastric stump cancer . early diagnosis and early treatment are of critical importance in improving prognosis of gastric stump cancer and recurrent gastric stump cancer . Radical resection is an effective therapeutic procedure of gastric stump cancer and recurrent gastric stump cancer.