残胃贲门癌和残胃食管癌17例的外科治疗  

SURGICAL TREATMENT OF PRIMARY CARDIAC AND ESOPHAGEAL CARCINOMA OF REMNANT STOMACH

作　　者：徐志飞[1] 孙耀昌[1] 答作为[1] 赵学维[1] 陈海泉[1] 

机构地区：[1]第二军医大学长征医院

出　　处：《解放军医学杂志》1997年第3期167-168,共2页Medical Journal of Chinese People's Liberation Army

摘　　要：报道残胃贲门癌１２例，残胃食管癌５例，均手术切除。作者认为残胃贲门癌行全胃切除，Ｐ袢空肠代胃Ｒｏｕｘ－ｅｎ－Ｙ式吻合重建消化道具有储存食物、防止反流性食管炎的功能，同时可以切除足够食管长度，防止癌肿残留。残胃食管癌切除后可采用结肠代替食管。残胃贲门癌和残胃食管癌的手术治疗可获得与原发性贲门癌和食管癌同样的效果。Twelve patients with primary cardiac cancer and 5 patients with esophageal cancer following partial gastrectomy were reported.All cases were operated. For cardiac cancer of remnant stomach,we performed “P” loops and Roux en Y esophagojejunostomy reconstruction after total gastrectomy.This operation was satisfactory in retaining enough food, preventing reflux esophagitis and allowing resection of long enough espohagus to avoid cancer remnant.For esophageal cancer of remnant stomach, it is recommended to replace the esophagus with colon after the resection of esophageal cancer. We concluded that the effects of operation on cardiac or esophageal cancer of remnant stomach were similar to that of primary cancer.

关 键 词：胃肿瘤 食管肿瘤 外科手术 

分 类 号：R735.205[医药卫生—肿瘤]