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目的 提高残胃贲门癌的诊治水平。方法 对12例残胃贲门癌的诊断及外科治疗进行回顾性分析。首次胃大部切除至残胃贲门癌确诊时间为4～21年。行残胃全切除并食管胃肠Roux-Y吻合术10例,开腹探查术2例。结果 术后存活3年以上者5例,占41.7%(5/12),存活5年以上者3例,占25%(3/12)。结论 首次胃大部切除术后10年为残胃贲门癌发病高峰期。残胃贲门癌发生似与首次术式有关,以Billiroth发病率高且发病间期短。早期诊断及时外科治疗可提高存活率。
Objective To improve the diagnosis and treatment of gastric and cardiac cancer. Methods We retrospectively analyzed the diagnosis and surgical treatment of 12 cases of gastric cancer. The time from the first subtotal gastrectomy to remnant stomach cancer was 4 to 21 years. Total resection of residual gas and esophageal gastrointestinal Roux-Y anastomosis in 10 cases, laparotomy in 2 cases. Results Five patients survived more than 3 years after operation, accounting for 41.7% (5/12). Three patients survived more than 5 years, accounting for 25% (3/12). Conclusion 10 years after the first subtotal gastrectomy was the peak period of gastric cancer. Remnant gastric cardia cancer appears to be associated with the first surgical procedure. The incidence of Billiroth is high and the interictal interval is short. Early diagnosis and timely surgery can improve survival.