残胃癌的外科疗效

目的探讨残胃癌的临床外科治疗效果。方法1990年1月至2008年5月手术治疗16例残胃癌患者与同期收治的其他胃癌626例对比。结果残胃癌男性多于女性，初次胃部分切除手术距残胃癌的诊断时间平均为13．5年，70％为BillrothⅡ式吻合者，63．3％发病在吻合口，1、3、5年生存率分别为78％、28％、15％，与同期其他胃癌对比74％、46％、26％差异无统计学意义（P=0．603）。结论残胃癌可行全胃切除，P形空肠袢代胃Roux—en-Y式吻合重建消化道。残胃癌的手术治疗可获得与原发性胃癌同样的效果。

Effect of surgical treatment of remnant stomach carcinoma

Objective To detect the surgical treatment effect of remnant stomach carcinoma. Methods From 1990 to 2004, 16 patients with remnant stomach carcinoma were treated surgically, and they were comparied with 626 primary stomach carcinoma. Results Remnant stomach carcinoma happen in male patients more than females. The mean time is 13.5 years since they accepted the first operation. （70 % ） underwent subtotal gastreetomy with Billroth Ⅱ reconstruction at first time. 63.3% recurred at the original marginal,and 1. 3.Syears survival rate was 78% .28% .15% respectively. No significant was found compared with primary stomach caicinoma （74%. 46%. 26% ）, （P = 0. 603）. Conclusion For emnant stomach carcinoma , total gastrectomy with＂ P＂ loops and Roux-en-Y alimentary reconstruction were recommended, and the same treatment effect compared with primary stomach carcinoma can be achived.