Wanzjan E N, Astrozhnikov Y V, Tschernousov A F
Zentralbl Chir. 1977;102(22):1358-64.
The authors followed up 123 patients with carcinoma of the gastric stump. In this report 39 patients were analysed with carcinoma that developed after stump resection for gastric ulcer or polyps; 35 were operated on including 20 radical operations. The authors conclude that in residual and recurrent carcinoma of the gastric stump as well as in diffuse and mixed initial carcinoma stump extirpation should be the method of choice. For primary exophitic growing and especially in old and weakened patients it is more advisable to perform subtotal resection than stump extirpation.
作者对123例胃残端癌患者进行了随访。在本报告中,分析了39例因胃溃疡或息肉行残端切除术后发生癌的患者;35例行手术治疗,其中20例为根治性手术。作者得出结论,对于胃残端残留癌和复发性癌以及弥漫性和混合型原发性癌,残端切除应作为首选方法。对于原发性外生性生长的癌,尤其是老年和体弱患者,行次全切除比残端切除更可取。