摘要
目的总结和分析残胃复发癌的临床诊治特点。方法对收治的48例因胃癌根治术后复发而再次接受手术者的资料进行回顾性分析。结果48例均为胃癌根治术后的残胃复发癌,复发时间为6～36个月,再次行根治性手术28例(58.3%),平均生存40.0个月;非根治性手术20例(41.7%),平均生存14.8个月;全组平均生存期30.6个月,中位生存期28.0个月。病期、病理类型、根治与否、腹膜种植、肝转移等因素的组间差异有显著性(P<0.01)。结论根治性手术及临床分期、腹膜种植是影响残胃复发癌预后的关键。根治性切除是治疗残胃复发癌的有效方法。
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.
出处
《中国普通外科杂志》
CAS
CSCD
2007年第4期310-312,共3页
China Journal of General Surgery
关键词
胃肿瘤/外科学
肿瘤复发
肿瘤转移
预后
Stomach Neoplasms/surg
Neoplasms Recurrence
Neoplasms Metastasis
Prognosis
