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目的:探讨残胃癌的临床表现、病理特点以及治疗与预后。方法:回顾性分析28例残胃癌的临床资料。结果:BillrothⅡ式术后残胃癌发生率为75％;肿瘤平均发生距胃切除时间为14.1年;1次性胃镜检查对残胃癌的捡出率为87％;肿瘤发生在吻合口14例,胃底贲门部12例,全残胃2例;采取根治术预后好、结论:残胃癌多在Billroth Ⅱ式术后发生,定期胃镜检查可以早发现,积极的治疗可以延长患者生存时间。
Objective: To investigate the clinical manifestations, pathological features, treatment and prognosis of gastric stump cancer. Methods: A retrospective analysis of 28 cases of gastric cancer clinical data. Results: The incidence of residual gastric cancer was 75% after Billroth Ⅱ operation. The mean tumor removal time was 14.1 years. The incidence of residual gastric cancer detected by one-time endoscopy was 87%. The tumors occurred in 14 cases of anastomotic stoma There were 12 cases of cardia in the bottom and 2 cases of the whole remnant stomach. The prognosis was good after radical operation. Conclusion: The residual gastric cancer mostly occurs after Billroth Ⅱ operation. Regular gastroscopy can be found early, and active treatment can prolong the survival time.