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目的探讨胃癌根治术后残胃复发癌的可切除性和预后影响因素。方法对1995年至2004年间接受手术治疗的胃癌根治术后残胃复发的25例患者进行回顾性研究。结果病例的根治性切除率为40%(10/25)。合并腹膜复发者无1例获得根治性切除。非吻合口处残胃复发的根治切除率为54.5%(6/11),吻合口处残胃复发者为28.6%(4/14)。获得根治切除患者的5年生存率为25.7%,未获得根治切除者为0。结论残胃复发癌不能被根治切除的主要原因是同时合并腹膜复发或肿瘤复发侵犯周围重要脏器。吻合口处的复发肿瘤的根治性切除率有减低的趋势。复发肿瘤能否被根治切除、是否合并腹膜复发直接影响患者的预后。
Objective To investigate the resectability and prognostic factors of residual gastric recurrent gastric cancer after radical operation of gastric cancer. Methods A retrospective study was performed on 25 patients with residual gastric remifenia after radical operation of gastric cancer undergoing surgery between 1995 and 2004. Results The radical resection rate was 40% (10/25). None of the patients with recurrent peritoneal complications received radical resection. The rate of radical resection of residual gastric stump was 54.5% (6/11) at the non-anastomotic site and 28.6% (4/14) at the anastomotic site. The 5-year survival rate was 25.7% for those who underwent radical resection and 0 for those who did not. Conclusion The main reason for the residual gastric cancer recurrence can not be removed by radical resection is the combination of retroperitoneal recurrence or tumor recurrence invading the surrounding vital organs. Radical resection of recurrent tumors at anastomosis have a tendency to decrease. Recurrence of tumor can be radical excision, whether the combined retroperitoneal recurrence directly affects the prognosis of patients.