贲门癌术后吻合口复法癌再手术治疗.doc

贲门癌术后吻合口复法癌再手术治疗
【关键词】贲门癌摘要:目的:探讨贲门癌术后吻合口复法癌再手术的可能和适应症。方法:回顾1992年至2004年我科尝试性行该手术16例,再次手术采用左胸切口和胸腹联合切口,手术切除9例(%);术中经胃造瘘术4例;行空肠造瘘术3例。结果:术后并发肺部感染3例;胸腔积液1例。%(4/9)%(1/9)。7例无法手术切除者均在3~11个月内死亡。结论:贲门癌术后吻合口复法癌再手术难度较大,经严格掌握手术适应症,尤其对距第一次手术时间1年内病灶较小,仍可再次积极手术,以首次经腹手术者为佳。关键词: 贲门癌; 吻合口; 复法癌; 再手术 Surgical Treatment of Anastomotic Recurrence following Resection of Cardiac Carcinoma Abstract:Objective:To explore the possibility and indication of surgical treatment of anastomotic recurrence following resection of cardiac :Reoperation was performed in 16 patients with anastomotic recurrence from 1992 to resection was in 9(%) and jejunostomy in
:In 9 patients,pneumonia occurred in 3 and hydrothorax in 1 after secondary resection. 2- and 3-year survival rates were %(4/9) and %(1/9).7 patients who didn’t receive secondary resection were died between 3 and 8 :Secondary resection is difficult but still effective for some patients with anastomotic recurrence especially in one year
following resection of cardiac carcinoma. Key words: Cardiac carcinoma; Stomas; Neoplasm recurrence; Reoperation 我科自1992年至2004年尝试性的行该手术16例,现探讨分析如下: 1 资料与方法 临床资料:本组16例,男12例,女4例。年龄最大69岁,最小46岁,中位年龄57岁。首次手术均为贲门癌,其中经腹7例;经左胸入路9例。再次手术距首次手术时间最长37个月,最短10个月,。首次手术病理:高分化腺癌3例;中分化腺癌4例;低分化及未分化腺癌7例;鳞癌2例。确诊吻合口复发癌主要症状似以渐进性吞咽困难14例(8