Della Beffa V, Fontana D, Leli R, Saroglia G, Voghera P
Divisione di Chirurgia B, Ospedale Giovanni Bosco, Torino.
Minerva Chir. 1994 Sep;49(9):791-7.
The authors have examined eight patients operated at the Department of Surgery "B" of the G. Bosco Hospital (Torino) from 1980 to 1992 for gastric stump cancer. All patients were male of about 72 years who were subjected to resection: 5 for gastric ulcer and 3 for duodenal ulcer. During the first operation they used the same recanalization technique after gastric resection: the semi-oral distal gastric jejunal anastomosis created by Hofmeister-Finsterer. The second operation was the subtotal gastric resection made on 6 patients, total gastrectomy in 1 case and explorative laparotomy in an inoperable case. The average of free time from disease was 32 years while it is 24 years in literature. The mean survival was 40 months. The 5-year survival was about 33%. The authors conclude that carcinoma of the gastric stump has a worst prognosis then carcinoma in normal stomach. The subtotal resection has the same results as in total gastrectomy.
作者研究了1980年至1992年期间在都灵G.博斯科医院外科“B”接受胃残端癌手术的8例患者。所有患者均为男性，年龄约72岁，均接受了切除术：5例因胃溃疡，3例因十二指肠溃疡。在首次手术中，他们在胃切除术后采用了相同的再通技术：由霍夫迈斯特 - 芬斯特勒创建的半口远端胃空肠吻合术。第二次手术中，6例患者进行了胃次全切除术，1例进行了全胃切除术，1例无法手术的患者进行了剖腹探查术。疾病的平均无病时间为32年，而文献报道为24年。平均生存期为40个月。5年生存率约为33%。作者得出结论，胃残端癌的预后比正常胃中的癌更差。胃次全切除术与全胃切除术的结果相同。
