CAJ | 학술논문

目的探讨复发性胃癌再手术治疗的临床意义.方法回顾性分析1986年1月至2003年12月收治的85例复发性胃癌再次手术病例的临床资料及生存资料.结果本组85例中,复发局限于残胃46例,复发时间＜2年58例.全组再手术切除45例,其中根治性切除34例,姑息性残胃切除11例,联合行脏器切除19例.根治性残胃切除术后的1、3、5年生存率分别为86%、57%和21%,中位生存期56个月;姑息性手术及其他综合治疗者的生存时间为6～26个月,中位生存期16个月;未切除患者均于半年内死亡.结论术后定期复查有助于复发性胃癌的早期诊断和治疗,复发性胃癌以残胃复发多见,具有较高切除率,应积极再手术治疗.
목적 탐토복발성위암재수술치료적림상의의.방법 회고성분석1986년1월지2003년12월수치적85례복발성위암재차수술병례적림상자료급생존자료.결과 본조85례중,복발국한우잔위46례,복발시간＜2년58례.전조재수술절제45례,기중근치성절제34례,고식성잔위절제11례,연합행장기절제19례.근치성잔위절제술후적1、3、5년생존솔분별위86%、57%화21%,중위생존기56개월;고식성수술급기타종합치료자적생존시간위6～26개월,중위생존기16개월;미절제환자균우반년내사망.결론 술후정기복사유조우복발성위암적조기진단화치료,복발성위암이잔위복발다견,구유교고절제솔,응적겁재수술치료.
Objective To determine the value of reoperation in the treatment of recurrent gastric cancer. Methods Clinical and survival data of 85 patients undergoing reoperation for recurrent gastric cancer from January 1986 to December 2003 were studied retrospectively. Results Among 85 cases, there were 46 cases with recurrence within the stump stomach and 58 cases recurred within 2 years post-operation.Resection was performed in 45 patients including 34 cases treated by radical resection and 11 cases by palliative residual stomach resection. The 1, 3, 5-year survival rate of 34 cases after radical resection was 86%, 57% and 21% respectively. The mean survival time of palliative and comprehensive treatment cases was 16 months (range: 6-26) while all patients undergoing reoperation without resection died within 6 months post-operation. Conclusion An early diagnosis of recurrent gastric cancer depends on frequent reexaminations. Most postoperative recurrent gastric cancers, within the residual stomach, may be treated by re-operation.