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目的 探讨胃癌局部复发再次手术切除的适应证及疗效。方法 1994～ 1998年共行胃癌局部复发再次手术切除 2 5例 ,术前慎重选择病例 ,术中切除复发癌肿 ,其中联合脏器切除 9例。结果 全组均切除癌肿 ,无手术死亡 ,术后症状改善明显 ,生存时间延长。结论 选择身体素质相对较好 ,复发癌肿仅侵犯左肝叶、胰体尾等易切除脏器的患者采取积极的手术治疗 ,可提高患者的生存质量 ,延长生存时间
Objective To investigate the indications and curative effects of resection of gastric cancer after local recurrence. Methods Between 1994 and 1998, 25 cases of local recurrence of gastric cancer were treated by reoperation. The patients were carefully selected before operation and 9 cases were resected by intraoperative resection of the tumor. Results All patients underwent resection of the cancer with no surgical death, significant improvement of postoperative symptoms and prolonged survival. Conclusion The patients with relatively good physical fitness and relapsed cancer only violated the excised organs such as the left hepatic lobe and the body and tail of the pancreas, etc., and took active surgical treatment to improve the quality of life and prolong the survival time