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目的 探讨残胃癌外科治疗经验。方法 总结近10年收治的12例残胃癌临床及随访资料。结果 本组12例,未手术2例,自诊断残胃癌后生存时间分别为2周和2月;其余10例均手术治疗,单纯剖腹探查3例,术后平均生存时间为2月;癌灶未能切除仅行短路吻合者3例,术后平均生存时间为7月;癌灶切除(残胃部分切除和残胃全切除)者4例,术后平均生存时间均在2年以上。结论 一经诊断残胃癌,在无手术禁忌证前题下,即应手术治疗。
Objective To explore the surgical treatment of gastric stumps. Methods The clinical and follow-up data of 12 patients with residual gastric cancer admitted in the past 10 years were summarized. Results 12 cases in this group, 2 cases without surgery, the survival time was 2 weeks and 2 months after self-diagnosis of residual gastric cancer. The remaining 10 cases were treated by surgery, 3 cases were only laparotomy, and the average survival time was 2 months; Three patients who failed to remove only the short-circuit anastomosis had an average survival time of 7 months; 4 patients had resection of the tumor (remaining part of the remnant stomach and remnant resection of the remnant stomach), and the average survival time was more than 2 years. Conclusion Once the diagnosis of residual gastric cancer is performed, it should be treated surgically without the contraindication of surgery.