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我院自1991年来对胃癌复发痫例进行再外科手术治疗,至今共施行15例,报道如下。一、临床资料1．患者男性14例,女性1例,年龄最小39岁,最大69岁,平均年龄54.5岁。2．首次胃手术情况,诊断为贲门痛3例,作近端胃大部切除术,食管胃吻合术。余均为远端胃癌,作远端胃癌根治术,手术方式为Billrothl Ⅰ式2例,Billrptj Ⅱ式10例。手术间隔最短半年,最长5年,平均为1.8年。3．再次手术情况。15例病例全部进行手术探查,其中6例切除复发病灶,切除率40%(6/15),其余均因肿瘤较大与重要脏器浸润无法切除,部份作了姑息性对症处理改善病状有单纯胃肠吻合2例,空肠造瘘1例,胃短动脉结扎止血1例。4．切除6例病例情况见附表。
In our hospital since 1991, re-surgical treatment for recurrent epigastric cases of gastric cancer has been performed in 15 cases so far. The report is as follows. First, the clinical data 1. The patients were 14 males and 1 female. The youngest was 39 years old and the oldest was 69 years old. The average age was 54.5 years old. 2. In the first case of gastrectomy, a diagnosis was made of 3 cases of cardia pain, proximal gastrectomy, and esophagogastric anastomosis. All of them were distal gastric cancers and performed radical gastrectomy for distal gastric cancer. The operation methods included Billrothl I in 2 cases and Billrptj II in 10 cases. The shortest interval of surgery is six months, the longest five years, with an average of 1.8 years. 3. Reoperation. All 15 cases underwent surgical exploration. Among them, 6 cases had recurrence lesions and the resection rate was 40% (6/15). The rest were due to large tumors and involuntary infiltration of vital organs. Some of them were treated with palliative symptomatic treatment to improve the condition. Simple gastrointestinal anastomosis in 2 cases, jejunostomy in 1 case, gastric short artery ligation to stop bleeding in 1 case. 4. Resection of 6 cases see the schedule.