Clinicopathological features of gastric remnant cancer / 中国普通外科杂志

ABSTRACT

Objective To study the clinicopathological features and treatment modality of patients with gastric remnant cancer after distal gastrectomy. Methods The data of 25 patients with gastric remnant cancer undergoing surgery during the recent 9 years were analyzed retrospectively.Results Patients with gastric remnant cancer showed a greater male predominance(5∶1). The mean interval between previous gastrectomy and diagnosis of gastric remnant cancer was 24.5 years,ranging from 12 to 35 years.The primary operation was Billroth Ⅱ reconstruction in 80% of the cases. R0 resection for gastric remnant cancer was performed in 14 cases,Palliative resection in 11 cases,and adjuvant chemotherapy in 18 cases. The 1-,3-and 5-year overall survival rate was 72.0%,56.0% and 36.0%,respectively,while the respective survival rate was 78.5%,71.4%,and 50.0% in radical surgery group,and 63.6%,36.3% and 18.1% in palliative surgery group(P