顺行法残胃癌根治术12例报告

Anterograde radical resection of gastric stump cancer: A report of 12 cases

目的探讨顺行法残胃癌根治术的临床价值。方法回顾性分析2010年1月至2012年12月河南省肿瘤医院普外科12例顺行法残胃癌根治术病人(观察组)的临床资料,并与2009年1月至2012年12月12例逆行法残胃癌根治术病人(对照组)资料进行对照研究,比较两组在手术及预后方面的差异。结果两组手术时间、术中出血量相比差异有统计学意义(P<0.05);清扫淋巴结数目、吻合口瘘发生率、术后并发症发生率、住院时间、1及3年存活率相比差异无统计学意义(P>0.05)。结论顺行法残胃癌根治术可缩短手术时间,减少术中出血量,降低手术难度,是一种适合大部分残胃癌病人的手术方式。

Objective To explore the clinical value of anterograde radical resection of gastric stump cancer. Methods The clinical data of 12 cases of gastric stump cancer underwent anterograde radical resection （the study group） between January 2010 and December 2012 in Department of General Surgery, Henan Cancer Hospital were analyzed retrospectively and compared with 12 matched cases performed retrograde radical resection （the control group） between January 2009 and December 2012. Results The operation time and average blood loss have statistically significant difference between the two groups （P〈0.05）. The average number of lymph nodes resected, the incidence of the postoperative anastomotic fistula and the postoperative complications, the postoperative hospital stay, the postoperative 1 year and 3 year overall survival rate have no statistically significant difference between the two groups （P〉 0.05）. Conclusion The anterograde radical resection of gastric stump cancer is able to reduce the operation time and intraoperative blood loss, downgrade the operation difficulty, and suits for the most of gastric stump cancer.