Surgical management of gastric stump cancer:a report of 37 cases

来源 :Journal of Zhejiang University Science | 被引量 : 0次 | 上传用户:kick3160288
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Objective:To observe the clinicopathological characteristics of gastric stump cancer(GSC)and evaluate the benefitsof radical surgery of GSC.Methods:The clinicopathological characteristics and postoperative survival time of 37 GSC patientswho underwent surgery were investigated retrospectively.The survival time was compared according to the type of surgicaloperation(radical resection vs palliative operation).Twenty-one cases that received radical resection were analyzed based on thepTMN stage.Survival curves were traced by using Kaplan-Meier methods.Results:Most GSC(32/37)was detected in patientswho had received Billroth Ⅱ reconstruction after partial gastrectomy for benign gastric disease.The lesser curvature side and thesuture line of anastomosis were the most frequent sites where GSC occurred(27/37).Differentiated adenocarcinoma was thedominant histopathological type(24/37).The postoperative 5-year survival rate of early stage GSC patients(n=9)was significantlyhigher than advanced stage GSC(n=12)(55.6 Objective: To observe the clinicopathological characteristics of gastric stump cancer (GSC) and evaluate the benefits of radical surgery of GSC. Methods: The clinicopathological characteristics and postoperative survival time of 37 GSC patients underwent surgery were investigated retrospectively. The survival time was compared according to the type of surgicaloperation (radical resection vs palliative operation) .Twenty-one cases that received radical resection were based on thepTMN stage. Survival curves were traced by using Kaplan-Meier methods. Results: Most GSC (32/37) was detected in patientswho had received Billroth II reconstruction after partial gastrectomy for benign gastric disease. The lesser curvature side and thesuture line of anastomosis were the most frequent sites where GSC occurred (27/37) .Differentiated adenocarcinoma was thedominant histopathological type (24/37). The postoperative 5-year survival rate of early stage GSC patients (n = 9) was significantlyhigher than advanced stage GSC (n = 12) (55.6
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