Desmond A M, Nicholls J, Brown C
Ann R Coll Surg Engl. 1975 Aug;57(2):101-4.
This paper considers the further surgical management of patients who have had a gastric ulcer removed which was apparently benign but which on subsequent histological examination has proved to be a carcinoma. A retrospective review of 59 such patients has been undertaken. A non-radical partial gastrectomy was performed in the first instance on all these patients; 24 of them had a second operation once the correct diagnosis had been reached and 35 had no further surgery. These two groups are compared. The overall 5-year survival in the non-revisional group was only 23% compared with 56% in those treated by a second operation. It is thought that revisional surgery should be undertaken within 6-8 weeks, provided the age and general condition of the patient are satisfactory. Since 1970 the routine use of fibreoptic endoscopy and biopsy has virtually eliminated the problem.
本文探讨了已接受胃溃疡切除术患者的进一步手术治疗，这些胃溃疡表面看似良性，但后续组织学检查证实为癌。对59例此类患者进行了回顾性研究。所有这些患者最初均接受了非根治性部分胃切除术；其中24例在确诊后进行了二次手术，35例未接受进一步手术。对这两组进行了比较。未进行二次手术组的总体5年生存率仅为23%，而接受二次手术治疗的患者为56%。一般认为，只要患者年龄和一般状况良好，应在6至8周内进行二次手术。自1970年以来，纤维光学内镜检查和活检的常规应用实际上已消除了这一问题。
