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我院自1980年以来,共手术治疗贲门癌398例.其中残胃贲门癌4例,占1%.均采用残胃贲门癌切除后行食管胃段对端吻合术,取得良好效果,报告如下:1 临床资料4例均为男性,年龄为55岁～70岁.3例为十二指肠球部溃疡穿孔,1例为胃小弯溃疡穿孔,均行毕罗Ⅱ氏结肠后胃大部切除术.从原发病手术至本次患癌间隔时间为15～20年.其主要表现为进行性吞咽困难、消瘦、贫血、胃部胀满等.1例伴有黑便.贲门部细胞学检查均发现腺癌细胞,内窥镜及钡剂造影,均提示贲门癌,食管受侵在1cm以内,无明显远处转移.3例经腹切口,1例经胸腹联合切口,将贲门部肿
Since 1980, our hospital has treated 398 cases of cardia cancer, among which there are 4 cases of gastric cancer of the stomach and rectum, accounting for 1%. All of them have performed endoscopic anastomosis of the esophagogastric segment after resection of residual gastric cardia cancer, and achieved good results. The report is as follows: : 1 Clinical data 4 cases were all males, aged from 55 to 70 years old. 3 cases were duodenal ulcer perforation, 1 case was minor curvature ulcer perforation, and most of them had Bi Luo II colon after the stomach. Resection. From primary surgery to this cancer interval of 15 to 20 years. The main manifestations of progressive dysphagia, weight loss, anemia, stomach fullness, etc.. 1 case with black stool. Cardiac cells Examinations revealed that adenocarcinoma cells, endoscopic and barium contrast imaging all prompted cardiac cancer, esophageal invasion within 1cm, no significant distant metastasis. 3 cases of abdominal incision, 1 case of thoracoabdominal incision, will be Department of swollen