残胃癌的临床诊断及治疗策略进展  

Progress in clinical diagnosis and treatment strategies for gastric stump cancer

作　　者：王朝阳[1] 蔡忠林[1] 石鑫[2] 吉翔[2] 刘宏斌[2] 

机构地区：[1]兰州大学第二临床医学院,兰州730000 [2]兰州军区兰州总医院普外科,兰州730050

出　　处：《中国普外基础与临床杂志》2017年第1期120-123,共4页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的总结残胃癌的诊断及治疗进展。方法收集最近5年相关文献,对残胃癌的诊断及治疗进展进行综述。结果残胃癌的诊断主要依靠内镜、黏膜活检及其他影像学检查;目前,残胃癌最主要的治疗方法是以残胃全切除为主,并结合腹腔镜治疗及内镜治疗,在以No.1-No.4和No.7-No.13淋巴结清扫基础上,根据首次手术方式的不同,扩大淋巴结清扫范围。结论残胃癌在治疗上仍以手术切除为主,其预后影响因素较多,应做到早诊断、早治疗。腹腔镜下残胃癌根治术则为残胃癌的治疗提供了一种更加简便和精准的方法。Objective To summarize the progress on diagnosis and treatment of gastric stump cancer. Methods Related literatures in recent 5 years were collected, and the progress on diagnosis and treatment of gastric stump cancer were reviewed. Results The diagnosis of gastric stump cancer mainly depends on endoscopy, mucosal biopsy and other imaging examinations. At present, the main treatment of gastric stump cancer is the total gastrectomy, combined with laparoscopic therapy and endoscopic therapy. On the basis of No.1-No.4 and No.7-No.13 lymph node dissection, the extent of lymph node dissection is enlarged according to the different surgical procedures. Conclusions The main treatment of gastric stump cancer is total gastrectomy, and there are many factors affecting the prognosis, which should be early diagnosis and early treatment. Laparoscopic radical gastrectomy for gastric stump caner provides a more convenient and accurate method for the treatment of gastric stump caner.

关 键 词：残胃癌 发病机制 淋巴结清扫 腹腔镜治疗 预后 

分 类 号：R735.2[医药卫生—肿瘤]