残胃癌的外科治疗

目的:分析和总结残胃癌外科治疗结果。方法:回顾分析1986～1999年间收治的11例残胃癌的临床表现、治疗及生存结果。结果:残胃癌缺乏相对特异性的症状。手术切除及根治切除率分别为54.5％和36.3％。手术并发症率为27.2％。该组总5年生存率及4例根治手术后的5年生存比率分别为18.1％和50％。5例行姑息性或探查术病例。其术后生存均不到1年。结论:积极外科手术,尤其是根治手术是残胃癌有效治疗手段。早期诊断是提高预后的关键。

SURGICAL TREATMENT OF GASTRIC STUMP CARCINOMA

Objectire: To eraluate the results of surgical treatment for gastric stump carinoma . Methods: Clinical manifestations , thesapntic, and survival were andlyzed retrospectively, of the 11 patients admitted from 1986 to 1999. Resectiom: No specific symptoms were identified. Resection and radical resection rate were 54.5%and 36.3% respeclirely. The overall 5 - year surrival rate and that of 4cases undergone radical resection wese 18. 1%and 50% respeclively, None of the five pationts undergone palliative or eaploratory operations surrived more than one year. Conclusion : surgery, especially redical resection , is an effective stralegv for treatment of gastric stump Carcinoma. The postoperative morbiditg rate is relatively high.