腹腔镜残胃癌根治术

Laparoscopic radical gastrectomy for gastric stump carcinoma

残胃癌一般是指胃或十二指肠溃疡等行胃大部切除术后5年以上，或胃癌根治术后10年以上残胃发生的原位癌。因腹腔镜残胃癌根治术切除率低故操作仍困难。虽然腹腔镜胃癌根治术技术趋于成熟，但关于腹腔镜残胃癌的报道仍较少。2009年1月至2012年6月兰州军区兰州总医院在完成700余例腹腔镜胃癌根治术的基础上成功施行腹腔镜残胃癌切除术18例，其结果显示：腹腔镜残胃癌切除术技术上安全可行并有满意的近期效果，已掌握腹腔镜胃癌D2根治术的外科医师可实施腹腔镜残胃癌切除术。

Gastric stump carcinoma （GSC） generally refers to the primary cancer in the remnant stomach, which occurs 5 years or latter after subtotal gastrectomy for gastric or duodenal ulcer, or 10 years or latter after gastric cancer resection. Laparoscopic radical gastrectomy for GSC is difficult with low resection rate. Although laparoscopic gastrectomy is technically mature in recent years, there is still few reports about laparoscopic resection for GSC. From January 2009 to June 2012, 18 patients with GSC received laparoscopic radical gastrectomy at the General Hospital of Lanzhou Military Area of PLA. Laparoscopic gastrectomy for GSC is technically feasible and safe with satisfactory short-term outcome. Surgeons who have mastered laparoscopic D2 dissection could perform this procedure.