Ozer Ilter, Bostanci E Birol, Ozogul Yusuf, Ulas Murat, Ercan Metin, Kece Can, Orug Taner, Atalay Fuat, Akoglu Musa
Department of Gastrointestinal Surgery, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey.
Tumori. 2009 Jul-Aug;95(4):438-41. doi: 10.1177/030089160909500405.
Most recurrent gastric tumors are unsuitable for further resection or palliative surgery. The aim of the present study was to evaluate the role of re-resection in patients with local-regional recurrences of gastric cancer.
Between 1998 and 2007, 26 patients underwent laparotomy for local-regional gastric cancer recurrence. Length of time to recurrence, recurrence patterns, operative procedures, morbidity, mortality and survival after re-resection were evaluated.
Re-resection was possible in 13 patients (50%). Among patients with resectable tumors, survival times were markedly longer, with 2 patients reaching 60 months of survival and 2 other patients reaching 48 and 28 months, respectively. Among patients with early recurrence, peritoneal carcinomatosis was more common. After re-resection, morbidity and mortality were seen, each in one patient.
Most of the re-resected recurrences were intraluminal. In patients with early recurrences of gastric cancer, peritoneal carcinomatosis was encountered most frequently. Re-resection was beneficial and long-term survival was achieved after re-resection.
大多数复发性胃肿瘤不适合进一步切除或姑息性手术。本研究的目的是评估再次切除在局部区域复发性胃癌患者中的作用。
1998年至2007年间，26例患者因局部区域胃癌复发接受了剖腹手术。评估了复发时间、复发模式、手术操作、发病率、死亡率及再次切除后的生存率。
13例患者（50%）可行再次切除。在可切除肿瘤的患者中，生存时间明显更长，2例患者存活达60个月，另外2例患者分别存活达48个月和28个月。在早期复发的患者中，腹膜癌转移更为常见。再次切除后，各有1例患者出现了发病率和死亡率情况。
大多数再次切除的复发灶位于腔内。在胃癌早期复发的患者中，腹膜癌转移最为常见。再次切除是有益的，再次切除后可实现长期生存。
