腹内恶性肿瘤再次手术的临床分析

Internal malignant tumor reoperation clinical analysis

目的探讨腹内恶性肿瘤再次手术意义及预后。方法回顾分析2000年1月～2010年3月腹内恶性肿瘤再次手术31例患者资料,对再手术原因、手术前诊断、术前手术评估,手术方式及术后生存时间进行分析。结果腹内肿瘤局部复发性手术23例,占74.2%,转移性单个肿瘤手术4例,占12.9%,非肿瘤复发手术4例,占12.9%,31例顺利完成手术。结论对腹内恶性肿瘤术后出现腹部疾病甚至复发者,再手术是必要的,能争取一定的生存率和生存质量,凡未证实远处转移证据,均应再次手术,而有一些是非复发疾病,是手术并发症,不应放弃手术,5年生存率可达12.9%,而首次手术的无瘤技术和再次手术术前准确评估是关键所在。

Objective To explore the Internal malignant tumor reoperation significance and prognosis′Methods Retrospective analysis in January 2000 to March 2010 internal malignant tumor reoperation 31 patients material,to reoperation causes,pre-operative diagnosis,preoperative operation evaluation,operation methods and postoperatie surial analysis.Results Internal tumor local recurrent surgery in 23 cases, accounted for metastatic single tumor 74.2% 4 cases, accounting for surgery,the tumor recurrence surgery to 12.9%,4 cases,accounting for 31 cases of 12.9% smooth completion of surgery.Conclusion The internal malignant tumor surgery appears celiac disease and even relapses, again the operation is necessary,can fight for certain survival rate and quality of life,who have not confirmed the distant metastases evidence,all should reoperation,and some are recurrent disease,is complications and should not give up surgery,the 5-year survival rate can amount to 12.9%,and first surgery disease-free technology and reoperation preoperative accurate assessment is the key.