保留迷走神经肝胆支的胃癌根治术对胆囊功能的影响  

Effect on Gallbladder Function of Hepatocystic Vagus-preserved Radic al Surgery for Gastric Carcinoma

作　　者：赵国华[1] 尹立杰[1] 刘玉忠[1] 娄礼广[1] 

机构地区：[1]辽宁省大连市中心医院副主任医师

出　　处：《中国现代手术学杂志》2005年第1期17-18,共2页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨胃癌根治术附加胆囊切除术的必要性. 方法选取1999年～2001年我院保留迷走神经肝胆支的胃癌根治术80例,测量术前、术后空腹胆囊容积、胆囊收缩功能及胆囊结石情况并进行对照分析. 结果术后空腹胆囊收缩功能较术前明显降低(P<0.01),术后2年检查发现有8例(10.12%)胆囊结石发生. 结论胃癌根治术附加保留迷走神经肝胆支不能完全预防术后胆囊炎、胆囊结石的发生;胃癌根治术附加胆囊切除术有其必要性.Objective To investigate the signific an ce of the cholecystectomy in radical surgery of gastric carcinoma. M ethods 80 cases of hepatocystic vagus-preserved radical surgery of gastric carcinoma from 1999 to 2001 were retrospectively reviewed with regard to pre-and postoperative gallbladder volume in fasting, contractibility of gallbl adder, and incidence of gallbladder stones. Result Contractibility of gallbladder significantly lowered postoperatively( P <0.0 1). Gallbladder stone occured in 8 cases(10.12%) with 2 years follow-up. Conclusion Cholecystitis and gallbladder stone can not be avoided completely by preservation of hepatocystic vagus, indicating the nece ssity of cholecystectomy in the radical surgery of gastic carcinoma.

关 键 词：迷走神经肝胆支 胃癌根治术 胆囊功能 1999年-2001年 胆囊收缩功能 胆囊切除术 空腹胆囊容积 胆囊结石 对照分析 术后 胆囊炎 术前 

分 类 号：R735.2[医药卫生—肿瘤]