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 , 孟淑紅 ² , 彭金軍 ¹

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Keywords：

殘胃癌; 胃大部切除術

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目的探討殘胃癌的臨床特點和診治方法。
方法對1989~2003年收治的15例殘胃癌病例資料進行回顧性分析，觀察不同手術方式對預后的影響。
結果B-Ⅱ式手術后殘胃癌發病率遠高于B-Ⅰ式手術；根治性手術切除8例，根治性切除率為53.3%（8/15）；根治性手術切除患者2年以上生存率為62.5%（5/8），姑息性手術切除患者術后平均生存時間不足1年。
結論早期診斷和根治性切除是殘胃癌預后的重要因素。

Citation： 李玉良,孟淑紅,彭金軍. 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. 馬淅夫，王忠裕，張俊然. 殘胃返流液致癌性的探討 [Ｊ]. 中國實用外科雜志， 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. 劉棟才，李永國，苗雄鷹，等. 胃大部切除術后殘胃癌19例臨床分析 [Ｊ]. 中國普通外科雜志， 2004； 13（4）∶282.
5. 蘇向前，李子禹，步召德，等. 殘胃癌的外科治療 [Ｊ]. 中國實用外科雜志，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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