Strategies and skills of reoperation for recurrent carcinoma at anastomotic stoma after total gastrectomy
10.3760/cma.j.cn113855-20210822-00504
- VernacularTitle:全胃切除术后食管空肠吻合口癌复发再手术的策略和技巧
- Author:
Yanhui GU
1
;
Guangsen HAN
;
Kewei ZHAI
;
Yong CHENG
;
Shijia ZHANG
;
Chao CHEN
;
Xinyu WANG
;
Guoyi LI
Author Information
1. 郑州大学附属肿瘤医院普外科，郑州 450003
- Keywords:
Stomach neoplasms;
Surgical stomas;
Recurrence;
Gastrectomy
- From:
Chinese Journal of General Surgery
2022;37(1):6-9
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the strategy and skills of reoperation for recurrent carcinoma at the stoma of esophagojejunostomy after total gastrectomy.Methods:The management experience in 18 patients at the Department of General Surgery, Tumor Hospital of Zhengzhou University from Oct 2016 to Jul 2021 were analyzed retrospectively.Results:Thirteen patients underwent left thoracoabdominal combined incision to completely remove the tumor.One patient developed anastomotic leakage, two patients developed pulmonary infection, one patient developed costochondritis, all were cured and discharged after conservative treatment; Nine patients had no postoperative complications. Two patients abandoned surgery due to high position of the tumor, 3 patients due to poor cardiopulmonary function, and were given radiotherapy and chemotherapy.The postoperative follow-up period was 4.6 to 42.9 months. Four patients died of tumor recurrence, and the remaining patients survived until the end of the follow-up. The overall 1-and 3-year recurrence-free survival rates were 100% and 20%, respectively.Conclusion:Surgery on recurrent carcinoma at esophagojejunostomy stoma after total gastrectomy, although difficult and challenging,could still benefit most patients when at the hands of expertise.
