Experience in Diagnosis and Treatment of 15 Patients with Carcinoma of Gastric Stump_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

李玉良 ¹ , 孟淑红 ² , 彭金军 ¹

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Keywords：

残胃癌; 胃大部切除术

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目的探讨残胃癌的临床特点和诊治方法。
方法对1989~2003年收治的15例残胃癌病例资料进行回顾性分析，观察不同手术方式对预后的影响。
结果B-Ⅱ式手术后残胃癌发病率远高于B-Ⅰ式手术；根治性手术切除8例，根治性切除率为53.3%（8/15）；根治性手术切除患者2年以上生存率为62.5%（5/8），姑息性手术切除患者术后平均生存时间不足1年。
结论早期诊断和根治性切除是残胃癌预后的重要因素。

Citation： 李玉良,孟淑红,彭金军. Experience in Diagnosis and Treatment of 15 Patients with Carcinoma of Gastric Stump. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2006, 13(1): 50-51. doi: Copy

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1. Stalsberg H, Taksdal S. Stomach cancer following gastric surgery for benign conditions [Ｊ]. Lancet, 1971; 2(7735)∶1175.
2. 马淅夫，王忠裕，张俊然. 残胃返流液致癌性的探讨 [Ｊ]. 中国实用外科杂志， 2001； 21（4）∶225.
3. Miwa K, Kinami S, Miyazaki I, et al. Positive association between dietary fat intake and risk of gastric stump carcinoma in rats [Ｊ]. Carcinogenesis, 1996; 17(9)∶1885.
4. 刘栋才，李永国，苗雄鹰，等. 胃大部切除术后残胃癌19例临床分析 [Ｊ]. 中国普通外科杂志， 2004； 13（4）∶282.
5. 苏向前，李子禹，步召德，等. 残胃癌的外科治疗 [Ｊ]. 中国实用外科杂志，2004; 24（7）∶406.
6. Sasako M,Maruyama K,Kinoshita T,et al.Surgical treatment of carcinoma of the gastric stump [Ｊ]. Br J Surg, 1991; 78(7)∶822.
7. Pointner R, Wetscher GJ, Gadenstatter M, et al. Gastric remnant cancer has a better prognosis than primary gastric cancer [Ｊ]. Arch Surg, 1994; 129(6)∶615.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Experience in Diagnosis and Treatment of 15 Patients with Carcinoma of Gastric Stump

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