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目的 探讨贲门癌术后吻合口复发癌再手术的可能性和适应证。 方法 再次手术采用胸腹联合切口和左胸切口 ,手术切除 9例 ,术中姑息性置管 2例 ,探查 3例。 结果 术后发生严重并发症 2例 ,无手术及院内死亡。手术切除者中 2年和 3年生存率分别为 44 .4% (4/ 9)和 2 2 .2 % (2 / 9) ,5例分别在 7个月～ 2年内死亡 ,2例失访。置管及探查者均在 2～ 7个月内死亡。 结论 贲门癌术后吻合口复发癌再手术要求较高 ,须严格掌握手术适应证。如患者一般情况较好 ,病灶较小 ,无远处转移 ,仍可再次积极手术 ,尤其是首次经腹手术者为佳。
Objective To investigate the possibility and indications of reoperation for recurrence of cardia cancer after operation. Methods Reoperation with thoracoabdominal incision and left chest incision, surgical resection in 9 cases, intraoperative palliative catheter in 2 cases, exploration in 3 cases. Results There were 2 cases of serious complications after operation, no operation and hospital death. The 2-year and 3-year survival rates were 44.4% (4/9) and 22.2% (2/9) in the surgical resection, 5 cases died within 7 months to 2 years and 2 cases were lost . Catheters and investigators were both within 2 to 7 months of death. Conclusion Cardiac cancer recurrence after anastomotic recurrence of cancer surgery requires a higher surgical indications to be strictly controlled. If the patient is generally better, less lesions, no distant metastasis, can still be aggressive surgery, especially for the first time abdominal surgery is better.