残胃癌39例诊治及预后分析

目的:总结和分析残胃癌的临床诊治特点及预后影响因素。方法:根治性手术切除23例,姑息性手术切除14例,剖腹探查术2例,并对手术方法、术后生存率进行总结。结果:39例无手术死亡,手术切除率76.5%。根治性手术5年存活率22.5%,2年存活率63%;非根治性手术5年存活率为0,2年存活率为58%。结论:定期胃镜检查残胃患者,早期诊断和根治性外科治疗是决定残胃癌预后的关键。

Diagnosis and prognosis in patients with gastric remnant carcinoma:report of 39 cases

Objective:To summarize and analyze the clinical diagnosis and treatment features for patients with gastric remnant carcinoma,as well as the factors which influence the prognosis of gastric remnant carcinoma.Methods:Twenty three cases with gastric remnant carcinoma were conducted with radical surgical resection,14 cases were conducted with palliative surgical resection,2 cases were conducted with exploratory laparotomy.The surgical methods and postoperative survival rate were summarized.Results:There was no operative mortality in this group,and from these cases,the surgical resection rate was 76.5%.In these cases who were treated with radical surgery,the postoperative 5-year survival rate was 22.5%,2-year survival rate was 63%;while these cases with non-radical surgery,the postoperative 5-year survival rate was 0,2-year survival rate was 58%.Conclusions:Fiberoptic gastroscope is needed for treatment of gastric remnant carcinoma;and the periodical gastroscope examination,early diagnosis and radical surgical treatment might be the key factors for gastric remnant carcinoma.