12例残胃癌临床诊治分析

目的:探讨残胃癌的早期诊断方法和外科治疗,观察不同手术方式对预后的影响。方法:回顾性分析我院1995年1月~2007年1月收治的12例残胃癌患者的临床资料,针对不同的肿瘤分期采取不同的手术方式。结果:胃镜对残胃癌的确诊率为83.3%。本组残胃癌发病距首次手术的平均时间为22年。在12例残胃癌中11例行根治性手术,1例行姑息性胃切除,围手术期无死亡病例,5年生存率为27.3%。结论:纤维胃镜及病理活检是诊断残胃癌的主要手段,残胃联合脏器切除是治疗残胃癌的主要手术方式。

Clinical analysis of diagnosis and treatment in 12 cases with gastric stump cancer

Objective:To investigate the early diagnosis and surgical treatment of gastric stump cancer(GSC)for the prognosis from different procedures. Methods: Analyzed retrospectively were the data of 12 patients with gastric stump cancer between January 1995 and January 2007 by examining the different procedures to the tumor staging. Results: The findings suggested that 83.3% of the cases were confirmed by gastroscopy and the mean time of the development from the first operation to GSC was 22 years. Of 12 patients with GSC, 11 underwent radical excision and 1 received palliative surgical treatment. No deaths occurred during the perioperative period and the postoperative 5-year survival rate was 27.3%. Conclusion: Fiberoptic gastroscope with biopsy plays an important role in diagnosis of GSC and the major surgical approach should be the resection of remnant stomach combined with other organs.