CAJ | 학술논문

目的：通过了解胃癌根治术（D2根治术）后的局部复发转移规律以确定术后辅助放疗照射，为术后进一步治疗提供指导。方法回顾我院由病理诊断为胃癌并行D2根治术后，随访经CT或MRI确诊出现复发转移的60例患者。对其术后复发区域资料进行统计分析。结果局部复发吻合口、残胃（12/48）、腹腔淋巴结（41/48）、肝脏（11/48）、肺转移（6/48）、盆腔种植（4/48）、其他部位转移（12/48）。有41例出现腹腔淋巴结转移，其中局部复发7例。结论胃癌根治术后肿瘤复发部位与原发部位相关，最常见的转移部位为腹膜后淋巴结，且以胃体及胃窦部癌常见。
목적：통과료해위암근치술（D2근치술）후적국부복발전이규률이학정술후보조방료조사，위술후진일보치료제공지도。방법회고아원유병리진단위위암병행D2근치술후，수방경CT혹MRI학진출현복발전이적60례환자。대기술후복발구역자료진행통계분석。결과국부복발문합구、잔위（12/48）、복강림파결（41/48）、간장（11/48）、폐전이（6/48）、분강충식（4/48）、기타부위전이（12/48）。유41례출현복강림파결전이，기중국부복발7례。결론위암근치술후종류복발부위여원발부위상관，최상견적전이부위위복막후림파결，차이위체급위두부암상견。
ObjectiveBy understanding (D2 radical prostatectomy) of local recurrence after gastric cancer radical transfer rule to determine the postoperative adjuvant radiation exposure, guidance for further treatment after surgery.MethodsReview the pathological diagnosis for the parallel D2 gastric cancer radical surgery and follow-up CT or MRI diagnosis of recurrence metastasis, 60 cases occurred. Statistical analysised postoperative recurrence of regional data. ResultsThe local anastomotic recurrence in the stomach (12/48), abdominal lymph nodes (41/48), liver (11/48), pulmonary metastasis (6/48), pelvic planting (4/48), other parts of the transfer (12/48). There were 41 cases with abdominal lymph node metastasis, including 7 cases of local recurrence.ConclusionThe gastric cancer radical surgery tumor recurrence partly related to the primary site, the transfer of the most common site is retroperitoneal lymph nodes, gastric body and gastric antrum cancer is also common.