残胃癌17例分析

Analysis of 17 cases of gastric remnant carcinoma.

目的 探讨残胃癌的临床特点、早期诊断和外科治疗。方法 对 1 986年 1月至 1 999年 6月收治的1 7例病人进行回顾性分析。结果 本组手术切除率为 76 5 % ,根治切除率为 5 8 8% ,Ⅰ、Ⅱ、Ⅲ、Ⅳ期的 3年生存率分别为 1 0 0 %、6 6 7%、5 0 %和 0 ,Ⅰ期的 5年生存率为 1 0 0 %。结论 对 5 0岁以上的男性胃部分切除者 ,建议自术后 1 0年开始每年 1次纤维胃镜加活检随诊。外科治疗以根治性全胃切除加D2 淋巴清扫术为宜。

Objective To explore the clinical features,early diagnosis and surgical treatment of gastric remnant cancer.Methods 17 cases of gastric remnant carcinoma admitted from January 1986 to June 1999 were studied retrospectively.Results Removal rate of cancer was 76 5%,radical resection rate was 58 8% in the group.The 3 year survival rate for stage Ⅰ,Ⅱ,Ⅲ,Ⅳwas 100%,66 7%,50% and 0 respectively.The 5-year survival rate for stage Ⅰ was 100%.Conclusion An annual screen program using flexible endoscopy with multiple random biopsy is recommended for male patients over 50 beginning from 10 years after gastrectomy.Total gastrectomy with D 2 nodal dissection may be feasible as the surgical treatment.