残胃癌的临床特征及外科治疗

目的探讨残胃癌的临床特征及治疗方法.方法回顾分析2000年1月至2010年12月上海新华医院普外科收治的32例残胃癌患者的临床资料.结果 32例患者确诊残胃癌距首次手术时间平均为21年;初次手术行Billrotn II式胃大部切除术24例;残胃癌发生在吻合口18例;残胃手术切除率为73.3%.结论 残胃癌大多发生于初次胃部分切除术后10年以上,多发生于Billroth II术式,癌病变主要位于吻合口附近.早期诊断、早期治疗,根治性手术是残胃癌的有效治疗方法.

Clinical characteristics and the surgical treatment of gastric stump cancer

Objective To elucidate the clinical characteristics and the surgical treatment in 16 patients with gastric stump cancer. Methods From 2000 to 2010, 32 patients that were treated in our hospital were analyzed retrospectively. Results The mean time was 21 years from first gastrectomy to gastric stump caner diagnosed. 24 patients were anastomosed with Billroth II when they underwent subtotal gastrectomy first. Focus lay to anastomotie stoma in 18 patients. The rate of resection was 73.3%. Conclusion Gastric stump cancer often rises ten years after subtotal gastrectomy with Billroth II. The focus lies to gastric mucosa adjacent to anastomotic stoma. It is important to early diagnose and undertake the curative resection as early as possible.