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作者报告27例胃肠道癌术后复发进行再次手术的经验教训。复发原因中除癌瘤进展期外,发现有医源性因素者12例(45%);在明确再手术目的与再手术适应证的严格选择后,全组有24例作了不同程度的肿瘤切除术(88%);术后有较多并发症,住院期间死亡2例,余均恢复出院。随诊25例中,迄今生存13例,生活质量明显改善。作者就再手术原因进行了调查,还对再手术的概念演变、再手术适应证的选择、再次手术的技术问题,以及手术前后的支持与辅助治疗进行了讨论。
The authors reported the experience and lessons of 27 cases of reoperation after gastrointestinal cancer recurrence. Among the causes of recurrence, 12 cases (45%) were found to have iatrogenic factors except for the advanced stage of cancer. After a clear selection of reoperation goals and strict indications for reoperation indications, 24 cases of tumors of different degrees were performed in the whole group. Resection (88%); postoperative complications, 2 patients died during hospitalization, and all were discharged. Of the 25 cases followed up, 13 have survived so far and their quality of life has improved significantly. The authors investigated the causes of reoperation, and discussed the concept evolution of reoperation, the choice of reoperation indications, the technical problems of reoperation, and the support and adjuvant treatment before and after surgery.