残胃癌61例诊治体会

Experience of diagnosis and treatment of 61 cases of gastric remnant carcinoma after subtotal gastroectomy

目的探讨残胃癌的临床特点。方法回顾性分析我们自1984年6月2005年2月经病理证实的残胃癌61例的临床资料。结果未手术组中除1例外均在10个月内死亡，姑息性手术组病例均于16月内死亡；根治性手术组的1年、3年、5年生存率分别为52％、36％、24％。结论对因胃十二指肠良性疾病而行胃部分切除术后的病人应行胃镜随访，以提高早期诊断率，争取行根治性手术，延长病人的生存期。

Objective To study clinical features of gastric remnant carcinoma after subtotal gastroectomy. Methods Sixty-one cases of gastric remnant carcinoma after subtotal gastroectomy in our hospital from June 1984 to December 2005 were analyzed retrospectively, which were pathologically confirmed. Results All the unresected patients died during 10 months expect one All palliatively rc- sected ones died during 16 months. The 1-,3- and 5-year survival rate of the radically resected term was 52%,36% and 24% respectively. Conclusion Gastroscopic follow-up for patients subject to subtotal gastroectomy because of gastric and duodenal benign diseases is recommended in order to improve early diagnostic possibility, resect the neoplasm radically and prolong the life expectancy.