胃癌术后复发再次手术治疗分析(附38例)

Reoperation in 38 recurrent stomach cancer patients.

目的探讨胃癌手术后复发的因素及其再次手术的适应证。方法对胃癌术后复发的38例患者进行再次手术，并对手术方法、术后并发症、死亡率及术后病理的结果进行分析。结果再次手术的术后生存时间超过5年者8例，超过3年者6例，超过2年者6例，超过1年者2例，1年以内死亡者16例。剖腹探查者6例分别于术后的4～8个月内死亡。结论对胃癌手术后复发者，再次手术能否切除病灶主要取决于其复发的方式。吻合口或残胃复发者，即使侵及邻近脏器，只要未出现远处转移，且心肺功能可耐受手术者都应再次手术。

Objective To explore the influential factors of recurrent stomach cancer and the indication of reoperation . Methods Reoperafion was performed for 38 recurrent stomach cancer patients. The method, complication, death rate and pathological result of the reoperation were analyzed. Results Among 38 cases, surrival time was longer than 5 years in 8 cases, longer than 3 years in 6 cases,longer than 2 years in 6 cases, longer than 1 year in 2 cases, 16 patients dead within 1 year. Condusion Successful reoperation is dependent maily on the type of recurrence in the recurrent stomach cancer patients. If only possible ,the reoperation shoued be perfomed.