残胃癌和残胃复发癌的外科治疗  

THE SURGICAL TREATMENT OF GASTRIC REMNANT AND RECURRENT CARCINOMA

作　　者：官国先[1] 张祥[1] 冯玉满[1] 吴天金[1] 卢辉山[1] 吴心愿[1] 

机构地区：[1]福建医科大学附属协和医院肿瘤科,350001

出　　处：《中国现代医学杂志》1997年第9期6-8,共3页China Journal of Modern Medicine

摘　　要：自1975年2月～1995年10月间共行胃癌手术1903例，其中残胃癌手术34例，残胃复发癌手术19例，分别占同期胃癌手术的1．787％（34／1903）和0．998％（19／1903）。两种特殊胃癌的手术方式：根治性残胃全切除术（R2式）35例，左上腹内脏联合切除1例，姑息性切除8例，剖腹探查9例。35例残胃全切除1，3，5年累计生存率分别为：77．1，34．7，23．6％。故认为胃部分切除术后应定期行胃气钡双重造形或胃镜检查，一经确诊为残胃癌或残胃复发癌，力争行根治性残胃全切除术，并辅以综合治疗。From February 1975 to October 1995, 1, 903 patients with gastric carcinoma were surgically treated. Gastric remnant carcinoma surgery was performed in 34 cases (1. 787 % ), and gastric recurrent carcinoma surgery was per-formed in 19 cases (0. 998 % ). The surgical methods used to treat these two special gastric carcinoma included: 35radical total resections of the residual stomach, one resection of the organs in the upper left abdomen, eight palliative resections, and in nine cases, exploration only was pefformed. The survival rate of the 35 cases with total residual stomach resection for one, three, and five years was 77.1%, 34. 7 %, and 23. 6%, respectively. The results show that gastric double contrast examination or gastroscopy must be done in gastrectomy. Radical total resection of the residual stomach and valuable adjunct treatment must be performed in patients with gastric remnant or recurrent car-cinoma.

关 键 词：胃肿瘤 残胃癌 残胃复发癌 手术 

分 类 号：R735.205[医药卫生—肿瘤]