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残胃癌在临床上属少见病,但其发病率并未下降、今后仍会不时遇到此类病人。鉴于残胃癌早期诊断率低,预后不佳,了解其治疗原则是很重要的。残胃癌的外科治疗须行残全胃切除加上至少D2范围的淋巴结清扫而残胃癌的淋巴转移模式与原发胃癌不同,例如报道中常见空肠系膜和下纵隔处淋巴结转移。因此残胃癌需要清扫包括一些在原发胃癌手术时不作为常规清扫的站别在进行了根治性的治疗后,残胃癌的预后与原发近端胃癌并无区别。
Stomach cancer is a rare clinical disease, but its incidence has not declined in the future will still encounter such patients from time to time. In view of the low early diagnosis of gastric stump cancer, the prognosis is poor, understand the principles of its treatment is very important. Surgical treatment of gastric cancer requires residual total gastrectomy combined with at least a D2 range of lymphadenectomy. The pattern of lymphatic metastasis of gastric residual gastric cancer is different from that of primary gastric cancer, for example, the common mesenteric and mediastinal lymph nodes at the mediastinum. Therefore, gastric cancer need to be cleaned, including some of the primary gastric cancer surgery as a routine not to clean up after the radical treatment, the prognosis of residual gastric cancer and primary proximal gastric cancer there is no difference.