摘要
目的探讨残胃癌的临床诊治特点。方法回顾性分析我院1994年1月～2006年12月收治的11例残胃癌的临床资料。所有病例均行手术治疗,其中,根治性残胃全切除,食管空肠Roux-en-Y式吻合术6例;姑息性癌肿切除,残胃空肠Roux-en-Y式吻合术4例;单纯空肠造口术1例。结果本组10例治愈出院,1例死亡,死于食管空肠吻合瘘致多器官功能障碍综合征(MODS)。术后获得随访6例,其中Ⅳ期1例术后4个月死亡,Ⅲ期2例分别手术后17及25个月死亡,Ⅱ期3例术后超过3年至今仍生存。结论早期残胃癌的临床症状缺乏特异性,胃镜是早期诊断本病的主要手段。早期诊断,早期治疗,以及选择合理的术式是提高生存率的重要措施。
Objective To investigate the clinical feature of diagnosis and treatment for gastric stump cancer（GSC）. Methods From January 1994 to December 2006, 11 cases with gastric stump cancer received surgical operation were analyzed retrospectively. All cases underwent surgical operation. Among them, radical total gastrectomy and esophagojejunostomy （Roux-en-Y）were in 6 cases, palliative tumor resection and residual gastro-jejunostomy（Roux-en-Y）was 4 cases and jejunostomy was 1 case. Results 10 cases were cured to discharge from hospital. 1 case died from MODS after esophagojejunal anastomotic leakage. Follow-up was got in 6 cases. Among them, 1 case Ⅳ stage died on 4 months after operation. 2 cases of Ⅲ stage died on 17 and 25 months respectively. 3 cases of Ⅱ stage were survival to now （over 3 years）. Conclusion The clinical symptoms of early gastric stump cancer are lack of specificity. Gastroscopy is a principal means for early diagnosis of GSC. It is very important to make early diagnosis and treatment, and select reasonable surgical procedure for improving the survival rate.
出处
《岭南现代临床外科》
2007年第4期263-264,共2页
Lingnan Modern Clinics in Surgery
关键词
残胃癌
诊断
手术治疗
Gastric stump cancer
diagnosis
Operative treatment
