Abstract:Objective：To analyze the clinical diagnosis and treatment of recurrent cancer in gastric remnant.
Methods ：Clinical data of 48 patients who underwent surgical re-operation because of recurrent carcinoma within gastric remnant after radical resection of gastric cancer were analyzed retrospectively.
Results：All 48 cases were recurrent cancer in gastric stump. The time of recurrence was 6-36 months after first radical resection. After reoperation, the mean survival time of 28 patients (58.3%) who underwent radical resection was 40 months; the mean survival time of 20 patients (41.7%) who received palliative treatment was 14.8 months (P<0.01) . The mean survival time of all patients was 30.6 months and the median survival time was 28.0 months. There was significantly different outcome between the groups classified by pathologic stages, whether or not there was peritoneal seeding and performance of radical resection.
Conclusions：The clinical stages, whether or not there was peritoneal seeding and performance of radical resection are the critical prognotic factors for recurrent carcinoma within gastric remnant. Radical resection is an effective way to treat recurrent carcinoma within gastric remnant.