中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

胃癌复发再手术适应证及评价

陈    凛，李佶阳   

  1. 中国人民解放军总医院普通外科，北京100853
  • 出版日期:2015-10-01 发布日期:2015-10-09

  • Online:2015-10-01 Published:2015-10-09

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摘要：

胃癌复发是绝大多数病人无法获得长期生存的主要原因。局部复发是复发性胃癌中切除率相对较高、预后相对较好的类型。血源性复发发生率高，肝脏是最常受累的器官，满足一定条件时可考虑肝转移灶切除治疗。腹膜转移治疗困难，预后差。复合复发与复发距首次手术的时间是影响预后的主要因素。早期复发再切除率低，预后差。中晚期复发再切除率高，预后也相对较好。

关键词: 胃癌, 复发, 再手术

Abstract:

Indications and evaluation of reoperation for recurrent gastric cancer        CHEN Lin, LI Ji-yang. Department of General Surgery, the General Hospital of PLA,Beijing 100853, China
Corresponding author: CHEN Lin, E-mail: chenlinbj@vip.sina.com
Abstract    Gastric cancer recurrence is the main reason why most patients with gastric cancer cannot have long-term survival. Local recurrence has relatively high resection rate and good prognosis. Liver is the most frequent site to which gastric cancer hematogenously metastasizes. Patients in relatively good general condition can be treated with surgery. In comparison, there has not been effective treatment for peritoneal metastasis. Additionally, multiple recurrence and interval of recurrence are the major prognostic factors. Unlike middle-late recurrence, early recurrence makes lower resection rate and unfavourable prognosis.

Key words: gastric cancer, recurrence, reoperation