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目的 探讨胃癌手术后复发因素及其再手术的适应证。方法 回顾性分析 1974～ 1998年胃癌术后复发病人进行再次手术治疗 48例的临床资料 ,并对手术方法、术后并发症、病死率及术后病理结果进行了分析。结果 术后生存 5年以上 7例 ,3年以上 8例 ,2年以上 6例 ,1年以上 9例 ,1年内死亡者 12例。单纯探查者 6例分别于 3～ 6个月内死亡。结论 对胃癌术后复发者 ,再手术能否切除病灶主要取决于复发方式 ,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 ,且心肺功能可以耐受手术者 ,均应再次手术。
Objective To investigate the recurrence of gastric cancer after operation and the indication for its reoperation. Methods The clinical data of 48 patients who underwent reoperation for gastric cancer recurrence from 1974 to 1998 were retrospectively analyzed. The operative methods, postoperative complications, mortality and postoperative pathological results were analyzed. Results Postoperative survival of more than 5 years in 7 cases, more than 3 years in 8 cases, more than 2 years in 6 cases, more than 1 year in 9 cases, 12 cases died within 1 year. 6 cases of simple probe died within 3 to 6 months respectively. Conclusion Recurrence of gastric cancer patients, re-surgery depends on the possibility of resection of the lesion depends on the way, where confirmed anastomotic or residual gastric recurrence, even if the invasion of neighboring organs, no distant metastasis, and cardiopulmonary function can tolerate surgery , Should be re-surgery.