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随胃切除病例数增加,残胃癌的病例数亦见增多。作者报告信州大学1969年1月到1981年6月共行胃切除术475例,其中4例(0.8%)发生残胃癌。这4例中男3例,女1例,平均年龄66岁(52～78岁),原发疾患为胃溃疡3例,十二指肠溃疡1例。原疾患手术式为毕-Ⅰ式1例,毕-Ⅰ式3例。残胃癌发生在术后13～29年。这4例残胃癌分别发生在吻合部、残胃全部、胃小弯前后壁、贲门部小弯侧。分期:Ⅰ期1例,Ⅲ期1例,Ⅳ期2例。病理学分类:3例为低分化腺癌,1例乳头状腺癌.治疗:3例作了残胃全切除术,R_2及R_3根治切除各1例,R_2非根治切除1
With the increase in the number of gastrectomy cases, the number of cases of residual gastric cancer has also increased. The authors reported that 475 cases of gastrectomy were performed at Shinshu University from January 1969 to June 1981, and 4 cases (0.8%) had gastric stump cancer. In these 4 cases, there were 3 males and 1 female, with an average age of 66 years (52 to 78 years). The primary disease was gastric ulcer in 3 cases and duodenal ulcer in 1 case. The primary disease surgical model was Bi-I in 1 case and Bi-I in 3 cases. Stump cancer occurs 13 to 29 years after surgery. The four cases of gastric stump cancer occurred in the anastomosis, residual gastric all, the anterior and posterior walls of the small curvature, and the small curved side of the cardia. Stages: 1 in stage I, 1 in stage III, and 2 in stage IV. Pathological classification: 3 cases of poorly differentiated adenocarcinoma, 1 case of papillary adenocarcinoma. Treatment: 3 cases of total residual gastrectomy, R2 and R3 radical resection in 1 case, R2 non radical resection 1