胃癌切除术切端癌残留临床分析

• 作 者: 杨海棠 麻晓
• 机 构: 河南省漯河市中医院,
• 出 处: 中国实用医药
• 发表日期: 2009年35期
• 关键词: 胃癌 胃切除 癌残留

目的探讨胃癌切除术切端癌残留的原因及预防手段,减少癌残留的发生率。方法回顾性分析本院2000年3月至2006年3月胃癌切除切端癌残留26例。结果胃癌切除术切端癌残留率为9.29%,上切端癌残留9例,下切端癌残留12例,上下切端均有癌残留5例。根据性切除术癌残留率为5.26%,姑息性切除术癌残留率为22.39%,两者比较有统计学差异。远、近端胃切除术切端癌残留分别为6.40%和19.57%,二者比较有统计学差异。癌残留与癌肿的大小,大体类型,分化程度及浸润深度有关。结论浅表广泛型早癌,弥漫浸润型进展癌,癌直径>5cm,分化程度低或不良,癌侵破浆膜层者,易发生残留。术中切端冰冻活检,有助于减少胃癌切除术切端癌残留的发生率。

Objective To investigate the causes of gastric cancer resection and its prevention and to reduce the incidence of cancer residual. Methods A retrospective analysis of our hospital from March 2000 to March 2006 resection of gastric cancer resection of 26 cases of residual cancer. Results The residual rate of endocervical cancer after gastric resection was 9.29%. There were 9 cases with end-cancer on the incision and 12 cases with end-cancer under the incision. There were 5 cases of cancer residual in the upper and lower incision. According to the resectability of cancer residual rate was 5.26%, palliative resection residual cancer rate was 22.39%, the two were statistically significant differences. Far and proximal gastrectomy end-cancer residual were 6.40% and 19.57%, the two were statistically significant. Cancer residues and the size of the cancer, the general type, degree of differentiation and depth of invasion. Conclusions The superficial type of early-stage carcinomas, diffuse infiltrative type of advanced cancer, cancer with diameter> 5cm, poorly differentiated or poorly differentiated cancer invading the serosal layer are prone to residual. Intraoperative end-frozen biopsy can help reduce the incidence of residual gastric cancer resection.