摘要
目的:探讨胃癌再手术的适应证和再手术效果及其手术后复发因素。方法:回顾性分析1995～2005年胃癌术后复发病人进行再次手术治疗50例的临床资料,并对手术方法、术后并发症、病死率及术后生存情况进行了分析。结果:术后生存5年以上6例,3年以上10例,2年以上12例,1年以上6例,1年内死亡者14例。手术死亡1例,死于其他疾病1例。单纯探查空肠造瘘者9例分别于3～11个月内死亡。结论:对胃癌术后复发者,再手术能争取一定的生存率和生存质量,凡证实吻合口或残胃复发者,即使侵及邻近脏器,无远处转移,均应再次手术。
Objective： To research the effect of reoperation which was received on the patient with gastric cancer and analyze the recurrent causes after the first operation. Methods： From 1995 to 2005, the reoperation data of 50 cases with recurrent gastric cancer after the first operation were retrospectively reviewed, the operation way, postoperative complications, case fatality and the survival time after reoperation were also analyzed. Results： After reopera- tion, 6 cases survived above 5 years, 10 cases above 3 years, 12 cases above 2 years, 6 cases above 1 year, 14 cases below 1 year, 1 case died of operation, and another case died of other disease, 9 cases that had only exploratory lapa- rotomy and were given stoma in jejunum respectively died between 3 months to 11 months after reoperation. Conclusion ： Reoperation can improve survival rate and survival quality for recurrent patients with gastric cancer. The patient who was confirmed gastric cancer had recurred in stoma or gastric stump but no distant metastasis after the first operation should receive reoperation, whether the carcinoma infiltrated neighbouring organs or not.
出处
《现代肿瘤医学》
CAS
2007年第7期980-981,共2页
Journal of Modern Oncology
关键词
胃癌
二次手术
生存分析
gastric cancer
reooeration
survival analysis
