Surgical management of residual gastric cancer.
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概要
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From 1966 to 1985, 2130 patients with gastric cancer were admitted to our surgical department. Among these cancers, gastric cancer following partial gastrectomy for benign gastroduodenal lesion were present in 22(1%) patients. The original pathology was gastric ulcers in 64% (14 patients), duodenal ulcers in 23% (5 patients), combined gastric and duodenal ulcers in 9% (2 patients), and leiomyoma of the gastric cardia in 4% (1 patient). Fourteen patients were reconstructed by Billroth II, 7 by Billroth I, and one had an esophagogastrostomy after a proximal gastrectomy. The cancer in 19 (86%) patients was resected and 3(14%) could not be resected. Only 2(9%) were early cancer, 20(89%) were advanced cancer including 11(50%) with Borrmann type 3. A higher proportion of positive lymphnode metastasis was observed for residual gastric cancer (84%) than for primary gastric cancer (49%). The overall 5-year survival rate was 32%, with a 5-year survival rate of 45% for those who underwent curative resection.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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Hashimoto Ken
Department Of Cardiology National Hospital Organization Okayama Medical Center
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TAKEDA JINRYO
Department of Surgery, Kurume University School of Medicine
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KAKEGAWA TERUO
Department o f Surgery, Kurume University School of Medicine
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TANAKA TAKAHO
Department o f Surgery, Kurume University School of Medicine
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UMEZU TOURU
Department of Surgery, Kurume University School of Medicine
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KODAMA ISSEI
Department of Gastroenterology and Surgery, Kurume University School of Medicine
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KOUFUJI KIKUO
Department o f Surgery, Kurume University School of Medicine
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IWAI HISAO
Department of Surgery, Kurume University School of Medicine
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