残胃癌的手术治疗(附28例报告)  

Surgical management of gastric stump cancer(a report of 28 cases)

作　　者：姜朝晖[1] 龚芝舵[1] 方晓明[1] 姚宁[1] 方旭东[1] 洪宇[1] 胡扶农[1] 

机构地区：[1]解放军第117医院普外科,浙江杭州310013

出　　处：《东南国防医药》2005年第5期336-337,339,共3页Military Medical Journal of Southeast China

摘　　要：目的探讨残胃癌的发病特点及手术治疗结果。方法回顾性分析我院1986年2月至2004年10月收治的28例残胃癌患者的发病特点、手术治疗及疗效。结果残胃癌患者因胃溃疡行初次手术后至发病时间明显短于因十二指肠溃疡手术者(14.2年比20.9年,P<0.05)。残胃癌好发于小弯缝合部(14/28,50%)。残胃癌的淋巴结转移特点因初发手术不同而有差别,同时伴有较高的多脏器受累。随访23例,早期残胃癌6例,进展期残胃癌17例,其中4例剖腹探查。术后5年生存率分别为63.7%和18.4%,P<0.01。根治性切除14例与非根治性切除7例比较,两者术后1年和5年生存率分别为100%、35.7%和71.4%、0%。结论残胃癌患者定期胃镜检查,合理的根治手术可获得较好的生存率。Objective To evalute the clinical pathological characteristics of gastric stump cancer （GSC） and the results of surgical management. Methods The clinical data and survival of 28 GSC patients received surgical tharepy were analyzed in our hospital from Feb. 1986 to Oct. 2004. Results The time duration of primary gastrectomy for benign gastic ulcer were obviously shorter than that for duodenal ulcer （14.2 vs. 20.9 year, P〈0.05）. GSC was often located on the lesser curvature （14/28,50%）. GSC had higher metastatic rate of lymph node and invaded multiple organs. The post-operative 5 year survival rates of 6 early and 17 advanced stage GSC were 63.7% and 18.4%, respectively （P〈0.01）. The post-operative 1,5 year survival rates of 14 radical and 7 non-radical disection were 100%, 35.7% and 71.4%, 0%, respectively. Conclusion The periodic endoscopic examination and rational radical disection of GSC pa.tients have better survival rate.

关 键 词：残胃癌 外科手术 

分 类 号：R735.2[医药卫生—肿瘤]