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目的探讨残胃贲门癌的可能诱发因素，寻找最佳手术方法以减少并发症，提高疗效。方法不同的手术方式治疗残胃贲门癌１２例，回顾分析发病与首次术式的关系。结果首次为ＢｉｌｒｏｔｈⅡ式胃大部切除术１０例，距残胃贲门癌确诊时间为６～２４年；手术６例行长臂ＲｏｕｘＹ或改良ＲｏｕｘＹ食管空肠吻合术式，术后并发症少，恢复顺利。结论胃大部切除应以ＢｉｌｒｏｔｈⅠ式吻合为佳；首次术后５年应定期复诊，争取早期诊断。手术应以长臂ＲｏｕｘＹ吻合方式为首选
Objective To explore the possible predisposing factors of residual stomach cancer and find the best surgical method to reduce the complications and improve the curative effect. Methods Different surgical methods were used to treat 12 cases of gastric cancer, and the relationship between the pathogenesis and the first operation was retrospectively analyzed. Results for the first time, 10 cases of Biroluth type II gastrectomy, 6 to 24 years from the diagnosis of residual gastric cardia cancer; 6 cases of long-arm Roux-Y or modified Roux-Y esophagojejunostomy, postoperative complications Less, resumed smoothly. Conclusions Subtotal gastrectomy should be performed with Bilroth I anastomosis. The first visit should be reviewed regularly for 5 years for early diagnosis. Surgery should be preferred with long arm RouxY anastomosis