胃癌切端癌残留的再手术分析  

Reoperation for the management of positive stump cancer after gastrectomy in patients of gastric carcinoma

作　　者：徐宏涛[1] 方基兴[1] 胡平[1] 

机构地区：[1]浙江省丽水市中心医院(温州医学院附属第五医院)普外科,323000

出　　处：《中华普通外科杂志》2006年第9期629-630,共2页Chinese Journal of General Surgery

摘　　要：目的探讨胃癌切除术切端癌残留的原因及再手术治疗的时机和手术方式。方法对1990年2月至2000年3月间19例再手术处理胃癌切除手术切端癌残留病例进行回顾性分析。结果本组手术后严重并发症发生率为31％,无死亡病例。同期胃癌根治手术后并发症发生率为18％,死亡率为2％。19例切端癌残留者平均生存期34．2个月(18-94个月),5年生存率为32％,预后与同期胃癌根治术相近。结论再手术治疗胃癌切除术后切端残留能够提高患者5年生存率。Objective To evaluate reoperation for the treatment of positive stump after gastreetomy in patients with gastric carcinoma. Methods From Feb 1990 to Mar 2000, 19 cases underwent reoperation for positive stump after primary gastreetomy for gastric carcinoma. Results The incidence of postoperative complications was 31%, there was no mortality, compared to the postoperative complications of 18. 3%, and the mortality rate of 2. 3% in patients undergoing primary radical resection during the same period. The average postoperative survival time of these 19 eases was 34. 2 month （18 -94 month）, the 5-year survival rate was 32% , with a prognosis similar to those undergoing primary radical gastreetomy for their gastric carcinoma. Conclusion Reoperation for patients of gastric carcinoma with positive stump after initial gastreetomy prolongs the 5-year survival rare.

关 键 词：胃肿瘤 胃切除术 再手术 

分 类 号：R735.2[医药卫生—肿瘤]