Gangi S, Costanzo M P, Prosperini U, Lauria M, Strano S, Basile F
Cattedra di Chirurgia d'Urgenza e Pronto Soccorso II, Ospedale Vittorio Emanuele, Catania.
Ann Ital Chir. 1996 May-Jun;67(3):387-90.
The early gastric cancer (EGC) is a very interesting pathology as it represents the first phase of gastric cancer, curable in most cases. The aim of the present study is to evaluate the outcome of surgical treatment of EGC in 19 consecutive patients. The studied patients were followed up for 5 years, during which they underwent a gastroscopy, a hepatic echography and a TC at one year intervals in case of echographic suspicion. Ten patients with limited involvement of the antrum underwent a gastric resection with Billroth II's reconstruction; five patients with circumscribed involvement of the gastric body underwent a subtotal resection; four patients (one with a multifocal involvement of the gastric body and three with multifocal involvement of the fundus) underwent a total gastrectomy with Roux's reconstruction. All patients underwent a limited lymphadenectomy of the perigastric lymph nodes. By evaluating and comparing the results of the present study with previous data on EGC, we propose gastric resection, subtotal gastrectomy and total gastrectomy, according to the location of neoplasm, with limited lymphadenectomy of perigastric lymph nodes.
早期胃癌（EGC）是一种非常有趣的病理学类型，因为它代表了胃癌的第一阶段，大多数情况下可治愈。本研究的目的是评估19例连续患者的早期胃癌手术治疗结果。对研究患者进行了5年的随访，在此期间，他们每年接受一次胃镜检查、肝脏超声检查，若超声检查有怀疑则每年进行一次CT检查。10例胃窦受累局限的患者接受了毕Ⅱ式重建的胃切除术；5例胃体局限性受累的患者接受了次全切除术；4例患者（1例胃体多灶性受累，3例胃底多灶性受累）接受了Roux式重建的全胃切除术。所有患者均接受了胃周淋巴结的有限淋巴结清扫术。通过将本研究结果与先前关于早期胃癌的数据进行评估和比较，我们根据肿瘤位置提出了胃切除术、次全胃切除术和全胃切除术，并进行胃周淋巴结的有限淋巴结清扫术。
