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目的探讨残胃癌的临床外科治疗效果。方法1990年1月至2008年5月手术治疗16例残胃癌患者与同期收治的其他胃癌626例对比。结果残胃癌男性多于女性,初次胃部分切除手术距残胃癌的诊断时间平均为13.5年,70%为BillrothII式吻合者,63.3%发病在吻合口,1、3、5年生存率分别为78%、28%、15%,与同期其他胃癌对比74%、46%、26%差异无统计学意义(P=0.603)。结论残胃癌可行全胃切除,P形空肠袢代胃Roux-en-Y式吻合重建消化道。残胃癌的手术治疗可获得与原发性胃癌同样的效果。
Objective To investigate the effect of clinical surgical treatment of gastric stump cancer. Methods From January 1990 to May 2008, 16 cases of gastric residual carcinoma were treated surgically compared with 626 cases of other gastric cancers treated at the same period. Results The residual gastric cancer was more common in women than in women. The mean time to diagnosis of residual gastric cancer was 13.5 years. 70% of them were Billroth II anastomosis. The incidence of anastomosis was 63.3%, and the 1,3 and 5 year survival rates were 78 %, 28% and 15%, respectively, compared with 74%, 46% and 26% of other gastric cancers in the same period. There was no significant difference (P = 0.603). Conclusion Gastric stump resection of gastric cancer is feasible, P-type jejunum 袢 Roux-en-Y gastric anastomosis reconstruction of the digestive tract. Surgical treatment of gastric cancer can get the same effect as primary gastric cancer.