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残胃癌的外科治疗(附19例临床分析)
引用本文:陈思潮,石成器.残胃癌的外科治疗(附19例临床分析)[J].四川肿瘤防治,2000,13(1):36-38.
作者姓名:陈思潮  石成器
作者单位:福建省南安市医院外科!南安362300
摘    要:目的:探讨残胃癌的病因,外科治疗方法及对并发症防治。方法:整理分析本院10年来收治残胃癌19例的临床资料,对比根治性胃全切除及合并邻近脏器联合切除、姑息性切除、非切除各组患者的治疗效果。结果:本组19例中,12全和B-Ⅱ式切除术;残胃部呛切除后1年、2年、5年生存率分别为58.3%、25.0%、16.7%。非切除病例均在5~6月内死亡。结论:行远侧胃切除,应争取作B-Ⅰ式切除术;对残胃癌应强调早期

关 键 词:胃肿瘤  残胃癌  胃全切术  消化道重建术  治疗

Surgical treatment of gastric stump cancer(Analysis of 19 cases)
CHEN Si chao,SHI Cheng qi,CHEN Wen bo.Surgical treatment of gastric stump cancer(Analysis of 19 cases)[J].Sichuan Journal of Cancer Control,2000,13(1):36-38.
Authors:CHEN Si chao  SHI Cheng qi  CHEN Wen bo
Affiliation:CHEN Si chao,SHI Cheng qi,CHEN Wen boDepartment of Surgery,Nanan Hospital,Fujian 362300
Abstract:Objective:To investigate the etiology,surgical treatment,prevention and trentment of operative complication of gastric stump cancer.Methods:Nineteen cases of gastric stump cancer were treaed surgically within ten years.Treatment results with radical resection of the entire gastric stump,the involved adjacent organs and lymph nodes were compared with that of palliative resection and non resection group.Results:The 1,2 and 5 year survival rate for gastric stump cancer treated by radical total resection were 58.33%,25.00% and 16.67% respectively.Patients having no resection all died within 5 to 6 months.Conclusion:Early diagnosis and treatment are very essential for gastric stump cancer.The best treatment for gastric stump cancer is operation.A Roux y esophagojejunostomy alimentary reconstruction is justified.
Keywords:Gastric stump cancer  Total gastrectomy  Alimentary tract reconstruction
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