近端胃切除术后残胃癌临床病理特征--与远端胃切除术后残胃癌对比分析

摘要

目的：分析近端胃切除术后残胃癌临床病理特征。方法回顾近端胃切除术后残胃癌患者16例的临床病理资料,与对照组远端胃切除术后残胃癌患者29例比较分析。结果近端胃切除组与远端胃切除组相比,残胃癌的发病年龄、发病间隔时间、组织学类型、肿瘤大小、浸润深度、淋巴结转移、手术方式、住院天数等差异均无显著性。近端胃切除组患者残胃癌诊断时TNM Ⅳ期的比例(50%)明显高于远端胃切除组(13.8%),P<0.05。结论与远端胃切除术后残胃癌相比,近端胃切除术后残胃癌患者诊断时Ⅳ期比例高,手术切除率低。近端胃切除术后残胃癌与远端胃切除术后残胃癌一般临床特征相似。%Objective To evaluate the clinicopathological features of gastric stump carcinoma (GSC) following proximate gastrectomy. Method The clinicopathological features of 16 patients with gastric stump carcinoma following proximate gastrec-tomy from 1999 to 2014 were analyzed retrospectively camparing with the patients with GSC following distal gastrectomy. Result There’s no statistically significant difference in age, gender, interval time, histological type, tumor size, depth of tumor, lymph nodes metastasis, surgical method, hospital stay by camparing the proximate gastrectomy group with the distal gastrectomy group. The proximate gastrectomy group has a higher proportion of TNM stageⅣ(50%)than the distal gastrecto-my group(13. 8%) . Conclusion The patients with GSC following proximate gastrectomy has a higher proportion of TNM stageⅣand has lower resection rate than the patients with GSC following distal gastrectomy.