论文部分内容阅读
目的探讨残胃癌的临床病理特征、早期诊断及外科治疗。方法回顾性分析我院1996~2006年收治75例残胃癌患者的临床病理资料。结果75例残胃癌患者中,男73例,女2例,平均年龄63.9岁。原胃大部切除术距残胃癌确诊间隔时间平均23.7年,原胃大部分切除吻合方式69例为BillrothⅡ式,6例为BillrothⅠ式。病变主要位于贲门、吻合口,以低分化腺癌多见。59例行手术治疗,其中34例行残胃癌根治性切除术。结论残胃癌常见于B illrothⅡ式术后,因此胃大部切除术后5年以上应定期胃镜随访,尤其10年以上者更应作为重点监测对象,以期提高早期诊断率及根治性手术切除率。
Objective To investigate the clinicopathological features, early diagnosis and surgical treatment of gastric stump cancer. Methods A retrospective analysis of our hospital from 1996 to 2006, 75 cases of gastric cancer patients with clinical and pathological data. Results 75 cases of residual gastric cancer patients, 73 males and 2 females, mean age 63.9 years old. The original gastrectomy from residual gastric cancer diagnosed at an interval of an average of 23.7 years, most of the original stomach resection anastomosis 69 cases of Billroth Ⅱ type, 6 cases of Billroth Ⅰ type. Lesions mainly located in the cardia, anastomotic, with poorly differentiated adenocarcinoma more common. Fifty-nine patients underwent radical surgery, of which 34 underwent radical resection of gastric cancer. Conclusion Gastric stump cancer is common in B illroth type Ⅱ surgery. Gastroscopy should be followed up more than 5 years after subtotal gastrectomy. In particular, patients with more than 10 years should be monitored as key monitoring points in order to improve the early diagnosis rate and the radical surgical resection rate.