摘要
目的:探讨我院胃癌根治术后复发转移原因。方法:回顾性分析我院自2003-2006年收治的胃癌根治术后的患者38例,随诊观察其长期生存、复发部位。结果:38例患者中大多数患者(60.5%)接受了D0手术,39.5%患者接受D1手术;全组病人3年总生存率为47.8%;15例(39.5%)复发,其中6例为局部复发,8例为局部复发及远处转移,1例为单纯远处转移。结论:胃癌根治术应尽量清扫多的淋巴结,如无条件开展D2或D3手术,则需选择合适的病人进行术后辅助治疗。
Objective：To investigate the failure causes of gastric carcinoma after gastrectomy.Methods：To retrospectively analyze the data of 38 patients with gastric carcinoma after gastrectomy from 2003 to 2006 in our hospital.Results：In 38 cases,most of them（60.5%） received D0 resections,and the rest（39.5%） received D1 resections;3 year overall survival rate was 47.8%;15 cases（39.5%） was recurrent,6 cases was local recurrent,8 cases was local recurrence and distant metastasis,1 case was distant metastasis.Conclusion：We should do systematic lymphnode dissection for gastric carcinoma,if D2 or D3 resections could not be performed,then after gastrectomy patients should receive adjuvant treatment.
出处
《现代肿瘤医学》
CAS
2011年第4期736-737,共2页
Journal of Modern Oncology
关键词
胃癌
根治术
复发
同步放化疗
gastric catcinoma
gastrectomy
recurrence
concurrent chemoradiationtherapy
