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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 :胃癌术后复发 48例进行再次手术 ,并对手术方法、术后并发症、死亡率及术后病理结果进行了分析。结果 :术后生存 >5年 6例 ,>3年 7例 ,>2年 4例 ,>1年 8例 ,≤ 1年死亡 12例。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。吻合口或残胃复发者 ,即使侵及邻近脏器 ,无远处转移 ,且心肺功能可耐受手术者都应再次手术。
Objective: To investigate the recurrence of gastric cancer after surgery and indications for its reoperation. Methods: Forty-eight patients with recurrent gastric cancer underwent reoperation. The operative methods, postoperative complications, mortality and postoperative pathological results were analyzed. Results: Postoperative survival was> 5 years in 6 cases,> 3 years in 7 cases,> 2 years in 4 cases,> 1 year in 8 cases, ≤ 1 year in 12 cases. 6 cases were probed death within 3 to 6 months respectively. Conclusion: The recurrence of gastric cancer patients, reoperation whether the excision of the lesion depends mainly on the recurrence. Anastomosis or residual gastric relapse, even if the invasion of neighboring organs, no distant metastasis, and cardiopulmonary function can tolerate surgery should be reoperation.