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目的总结残胃癌的诊断及治疗进展。方法收集最近5年相关文献,对残胃癌的诊断及治疗进展进行综述。结果残胃癌的诊断主要依靠内镜、黏膜活检及其他影像学检查;目前,残胃癌最主要的治疗方法是以残胃全切除为主,并结合腹腔镜治疗及内镜治疗,在以No.1-No.4和No.7-No.13淋巴结清扫基础上,根据首次手术方式的不同,扩大淋巴结清扫范围。结论残胃癌在治疗上仍以手术切除为主,其预后影响因素较多,应做到早诊断、早治疗。腹腔镜下残胃癌根治术则为残胃癌的治疗提供了一种更加简便和精准的方法。
Objective To summarize the diagnosis and treatment of residual gastric cancer. Methods The related literatures collected in the past five years were collected to review the diagnosis and treatment progress of gastric cancer. Results The diagnosis of residual gastric cancer mainly depends on endoscopy, mucosal biopsy and other imaging studies. At present, the main treatment method for residual gastric cancer is residual gastric full resection combined with laparoscopic and endoscopic treatment. 1-No.4 and No.7-No.13 lymphadenectomy on the basis of the first operation according to the different ways to expand the scope of lymph node dissection. Conclusion Stomach cancer is still mainly treated by surgical resection. There are many prognostic factors for gastric residual stump cancer. Early diagnosis and early treatment should be done. Laparoscopic radical gastric resection provides a more simple and accurate method for the treatment of residual gastric cancer.