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我院从1978年10月至1987年3月对24例胃癌术后复发病人进行了再手术。现报道如下。 临床资料 男17例,女7例。年龄25～72岁,平均54岁。初次手术近端胃大部切除4例,远端胃大部切除20例。 再手术时术式:可切除7例,占29％,不能切除17例,占71％,可切除组残胃切除6例,1例行肿块切除术。不能切除组,2例行胃——空肠吻合术,2例行回——结肠吻合术,4例行空肠造瘘术,1例行胆总管切开“T”管引流术,余8例行剖腹探查术。
In our hospital from October 1978 to March 1987, 24 patients with recurrence of gastric cancer were reoperated. The report is as follows. Clinical data 17 males and 7 females. Age 25 to 72 years old, average 54 years old. The primary surgery was performed in 4 patients with proximal subtotal gastrectomy and distal subtotal gastrectomy in 20 patients. At the time of reoperation, the resection was performed in 7 cases (29%), 17 cases (71%) could not be removed, 6 cases were resectable in the resectable group, and 1 case underwent lumpectomy. The group could not be excised, gastrojejunostomy in 2 cases, return-colon anastomosis in 2 cases, jejunostomy in 4 cases, and T-tube drainage in 1 case in the common bile duct. The remaining 8 cases were performed. Laparotomy.