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目的探讨残胃癌的外科手术治疗效果。方法对 36例残胃癌接受手术患者的临床资料进行分析。结果 36例残胃癌手术中 ,探查 10例 ,探查率 2 7.8%。手术切除 2 6例 ,手术切除率 72 .2 % ,其中姑息切除 7例 ,根治性切除 19例。手术切除无并发症发生 ,无手术死亡 ,5年生存率 39.7%。结论残胃癌目前主要是手术治疗 ,对肿瘤已侵及周围器官或为了清除淋巴结 ,应行联合脏器切除。改良P式Roux en Y食管、空肠吻合术是一种接近生理状态的消化道重建术。
Objective To investigate the surgical treatment of residual gastric cancer. Methods The clinical data of 36 patients with gastric cancer undergoing surgery were analyzed. Results 36 cases of residual gastric cancer surgery, exploration of 10 cases, exploration rate of 7.88%. 26 cases were surgically removed and the resection rate was 72.2%, including 7 cases of palliative resection and 19 cases of radical resection. Surgical resection without complications, no surgical death, 5-year survival rate of 39.7%. Conclusions Stomach cancer is mainly treated by surgery. The tumor has invaded the surrounding organs or removed the lymph nodes. Improved P Roux en Y Esophagus, jejunum anastomosis is a physiological state of the digestive tract reconstruction.