Surgical treatment for patients with anastomotic stoma cancer, gastric cardial cancer or esophagus cancer after subtotal gastrectomy
10.3760/cma.j.issn.1673-4904.2012.14.004
- VernacularTitle:胃大部切除术后吻合口癌、贲门癌及食管癌的外科治疗
- Author:
Wei LIU
;
Zaicheng YU
;
Huiping CHAI
;
Xu HU
;
Renquan ZHANG
;
Xiao LIU
- Publication Type:Journal Article
- Keywords:
Gastrectomy;
Esophageal neoplasms;
Anastomotic stoma cancer;
Gastric cardial cancer;
Digestive tract reconstruction
- From:
Chinese Journal of Postgraduates of Medicine
2012;35(14):11-13
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo discuss the surgical treatment for patients with anastomotic stoma cancer,gastric cardial cancer or esophagus cancer after subtotal gastrectomy.MethodsThe clinical data of 21 patients with anastomofic stoma cancer,gastric cardial cancer or esophagus cancer after subtotal gastrectomy were analyzed retrospectively.There were 4 cases with anastomotic stoma cancer after operation of gastric cardial cancer,2 cases with gastric cardial cancer after subtotal gastrectomy due to gastriculcer,3 cases with upper esophagus cancer after subtotal gastrectomy due to gastric ulcer,6 cases with mid-esophagus cancer and 6 cases with distal esophagus cancer after subtotal gastrectomy due to gastric ulcer.There were 6 cases treated with partial esophagus resection,resection of remaining stomach and jejuna-esophagus anastomosis,3 cases treated with partial esophagus and stomach resection and esophagus-gastric anastomosis,12 cases with subtotal esophagectomy and colon interposition.ResultsOne case with incision infection,1 case with anastomosis leaks,1 case dead of pulmonary infection.In the 20 follow-upcases,4 cases were dead of cardiac and cerebral accidents at the third year after operation,and other 16 cases survived and had normal diet.ConclusionsReoperation is still one of the best choices for patients with anastomotic stoma cancer,gastric cardial cancer and esophagus cancer after subtotal gastrectomy when their body condition are acceptable and without distant metastasis.The organ for digestive tract reconstruction should be decided according to the situation of the first gastrectomy and the proficiency of the operator.
