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(56.3%)；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。手术切除者中2年和3年生存率分别为44.4%(4/9)和11.1%(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

    LI Kai-he， LU Wei， ZHAO Zhi-qiao

    (The Second People's Hospital of Shantou, Guangdong Shantou 515011, China)

    Abstract:Objective:To explore the possibility and indication of surgical treatment of anastomotic recurrence following resection of cardiac carcinoma.Method:Reoperation was performed in 16 patients with anastomotic recurrence from 1992 to 2004.Secondary resection was in 9(56.3%) and jejunostomy in 3.Result：In 9 patients,pneumonia occurred in 3 and hydrothorax in 1 after secondary resection. 2- and 3-year survival rates were 44.4%(4/9) and 11.1%(1/9).7 patients who didn’t receive secondary resection were died between 3 and 8 month.Conclusion:Secondary resection is difficult but still effective for some patients with anastomotic recurrence especially in one year following resection of cardiac carcinoma. ......