Matsushita M, Hachisuka K, Yamaguchi A, Isogai M, Oda K, Kuze S, Mayumi T, Murakami H, Kondou S, Shiomi M
Dept. of Surgery, Ogaki Municipal Hospital.
Gan No Rinsho. 1989 Nov;35(14):1650-4.
Seventeen cases of a recurrent gastric cancer that were treated by a resection of the remnant stomach have been studied retrospectively. For first management 12 cases were given a Billroth 2 procedure, 4 cases a Billroth 1 procedure and 1 case a fundectomy. For the recurrent cancer, 13 cases were given a total resection of the gastric remnant and 4 cases a partial resection. The overall mortality rate was 12% and the survival rate was 58% at 1 year, and 8% at 5 years. We thus have concluded that a resection of the remnant stomach should be carried cut in cases of a recurrent gastric cancer whenever possible.
对17例复发性胃癌行残胃切除术的病例进行了回顾性研究。首次治疗时,12例行毕Ⅱ式手术,4例行毕Ⅰ式手术,1例行胃底切除术。对于复发性癌,13例行残胃全切除术,4例行部分切除术。总死亡率为12%,1年生存率为58%,5年生存率为8%。因此,我们得出结论,复发性胃癌患者应尽可能行残胃切除术。