Ellis H, Jayasekara G
Br J Surg. 1975 Mar;62(3):226-30. doi: 10.1002/bjs.1800620313.
A series of 23 patients with suspected recurrent disease following 'curative' resection for gastric carcinoma was submitted to further laparotomy (24 operations). Three patients were found to have hopeless dissemination, 10 had palliative procedures performed which relieved their dysphagia, vomiting and jaundice, 4 had recurrences resected and 1 had a second primary of the gastric stump excised. No less than 6 were found to have benign lesions. Although the reward as far as prolonged survival is small, we believe that the relief of symptoms and the occasional long term excellent result justifies judicious use of a 'second look' laparotomy for suspected recurrent disease.
对23例胃癌“根治性”切除术后疑似复发的患者进行了进一步剖腹探查（共24次手术）。发现3例患者已有无法救治的播散，10例行姑息性手术，缓解了吞咽困难、呕吐和黄疸症状，4例复发病灶得以切除，1例切除了胃残端的第二原发性肿瘤。发现不少于6例为良性病变。尽管延长生存期的获益不大，但我们认为，缓解症状以及偶尔出现的长期良好效果证明，对于疑似复发病例，审慎地采用“二次探查”剖腹术是合理的。
