文档介绍：
贲门癌术后吻合口复法癌再手术治疗
【关键词】 贲门癌
摘要：目的：探讨贲门癌术后吻合口复法癌再手术的可能和适应症。方法：回顾1992年至2004年我科尝试性行该手术16例，再次手术采用左胸切口和胸腹联合切口，手术切除9例（%）；术中经胃造瘘术4例；行空肠造瘘术3例。结果：术后并发肺部感染3例；胸腔积液1例。%（4/9）%（1/9）。7例无法手术切除者均在3～11个月内死亡。结论：贲门癌术后吻合口复法癌再手术难度较大，经严格掌握手术适应症，尤其对距第一次手术时间1年内病灶较小，仍可再次积极手术，以首次经腹手术者为佳。
关键词： 贲门癌； 吻合口； 复法癌； 再手术
Surgical Treatment of Anastomotic Recurrence following Resection of Cardiac Carcinoma
Abstract:Objective:To explore the possibility and indication of surgical treatment of anastomotic recurrence following resection of cardiac :Reoperation was performed in 16 patients with anastomotic recurrence from 1992 to resection was in 9(%) and jejunostomy in ：In 9 patients,pneumonia occurred in 3 and hydrothorax in 1 after secondary resection. 2- and 3-year survival rates were %(4/9) and %(1/9).7 patients who didn’t receive secondary resection were died between 3 and 8 :Secondary resection is difficult but still effective for some patients with anastomotic recurrence especially in one year following resection of cardiac carcinoma.
Key words: Cardiac carcinoma； Stomas； Neoplasm recurrence； Reoperation
我科自1992年至2004年尝试性的行该手术16例，现探讨分析如下：
1 资料与方法
临床资料：本组16例，男12例，女4例。年龄最大69岁，最小46岁，中位年龄57岁。首次手术均为贲门癌，其中经腹7例；经左胸入路9例。再次手术距首次手术时间最