CLINICAL-STUDY ON RESERVATION OF PART OF STOMACH FOR PATIENTS WITH CARDIAC CANCER OF THE GASTRIC STUMP

Objective To explore the clinical significance of the resection of the cardia and fundus for patients suffering from cardiac cancer of the g astric stump. Methods Twenty-five patients suffering from cardiac canc er with a mean period of 13 years and 3 months after subtotal gastrect omy were included in this study. Their average age was 59.1 years. Amo ng them, 19 patients got exploratory thoracotomy. Results Of the 19 pa tients, 1 was inoperable, 1 underwent resection of the gastric stump a nd esophagojejunostomy because of his huge tumor, 17 underwent resecti on of the cardia and fundus of the gastric stump and accepted gastroes ophagostomy (9 were subjected to tunnel gastroesophagostomy and 8 to e nd-to-end esophagogastrostomy). The largest tumor was 5 cm x 4 cm in s ize. Except for a death resulting from intestinal obstruction followin g operation, the others attained a good recovery. The longest period o f survival was 4.5 years. Conclusions Resection of the cardia and fund us and gastroesophagostomy can be carried out for patients suffering f rom cardiac cancer of the gastric stump. The method is in line with th e principle of the conservation surgery.