胃癌术后复发的再手术治疗

 目的　探讨胃癌术后复发的早期发现，早期诊断和再手术治疗问题，以延长病人生存时间，提高胃癌5年生存率。方法　回顾性分析我院1994年至1997年17例胃癌术后复发再手术病例。结果　胃癌术后复发71%发生于2年之内，早期发现依赖于术后定期胃镜检查，再次手术获相对根治性切除者生存14个月～4年，获姑息性切除者生存6个月～22个月。结论　对胃癌术后复发病人能再次手术切除者，可延长病人生存时间，术后定期纤维胃镜检查有助于早期发现和早期诊断。

Reoperation for Recurrence of Gastric Carcinoma after Gastrectomy

Objective To investigate the reoperation and early finding and early diagnosis for recurrence of gastric carcinoma after gastrectomy.Methods Seventeen cases of gastric carcinoma recurrence after gastrectomy from 1994 to 1997 in the hosptial have been reviewed by retrospective study.Results The recurrence after gastrectomy occured within two years was 71%(12/17).Early diagnosis depend on endoscopy.Reoperation with radical resection survived the nine patients from forteen months to four years,and with palliative resection survived the two patients from six months to twenty two months.Conclusion Reoperation with radical resection can survive the patients who suffered from gastric carcinoma recurrence after gastrectmy to long time.Early diagnosis have to resort to endoscopy.