摘 要：目的：分析探讨残胃癌的诊断和治疗方式。方法：对我院1989年6月至2004年6月27例残胃癌患者的临床资料进行回顾性探讨。结果：残胃癌占同期胃癌1.8%，施行根治性手术14例(53.3%)，姑息性手术9例(34.6%)，由于广泛转移未行手术或仅行剖腹探查术3例(11.5%)。根治性手术病人1、3、5年生存率85.7%、50%、35.7%。 结论：良性溃疡胃次全切除术5年后定期胃镜检查是残胃癌早期诊断的关键。根治性手术是治疗残胃癌的主要方法。

    关键词：残胃癌；外科手术；早期诊断

    Surgical Treatment of Gastric Stump Cancer

    LI Kai-he, ZHAO Zhi-qiao, LU Wei, et al

    (The Second People's Hospital of Shantou, Guangdong Shantou 515011, China)

    Abstract： Objective:To explore the diagnosis and treatment of gastric stump cancer(GSC).Method:The clinic datum of 27 cases with GSC were analyzed retrospectively from June 1989 to June 2004.Result: The ratio of GSC was 1.8% in homochronous gastric cancer.In 27 cases,The radical operation was performed for 14(53.5%),palliative operation for 9(34.6%)and pass-procedure for 3(11.5%).The one-year,three-year and five-year postoperative survival rate in radical operation was 85.7%, 50% and 35.7%. Conclusion:The key of early diagnosis for GSC is perioclic gastroscopy examination in five years after subtotal gastrectomy. ......