腹腔镜150例胃癌D2根治术后并发症的预防及处理回顾总结  

Retrospective analysis of prevention and treatment of complications after laparoscopic gastrectomy with D2 for 150 cases

作　　者：王道荣[1] 赵建国[1] 鱼海峰[1] 汪刘华[1] 蒋国庆[1] 李永坤[1] 赵泽坤[1] 陈杰[1] 

机构地区：[1]江苏省苏北人民医院胃肠外科,扬州225001

出　　处：《国际外科学杂志》2012年第3期163-165,共3页International Journal of Surgery

摘　　要：目的 分析腹腔镜胃癌根治术后并发症的原因与处理对策。方法 回顾性分析苏北人民医院胃肠外科2007年3月-2010年12月施行的150例腹腔镜胃癌根治术的患者资料。结果 术后共14例患者发生了并发症，总的并发症发病率为9．33％（14／150），包括吻合口出血1例、吻合口狭窄1例、腹腔内出血2例、十二指肠残端瘘1例、胃排空障碍3例、不全性肠梗阻1例、切口感染2例、肺部感染3例。无围手术期死亡病例。结论 加强手术的精细化操作、术后病情观察、引流管的管理是腹腔镜胃癌根治术患者围手术期并发症预防和处理的关键。Objective To analyze the reasons of complications after laparoscopic gastrectomy with D2. Methods The clinical courses of 150 cases who suffered from gastric cancer treated by laparoscopy in the First Affiliated Hospital of Yangzhou University from March 2007 to December 2010 were retrospectively analyzed. Results Fourteen cases showed complications after operation, the rate being 9.33% （14/150）. The remaining patients with postoperative complications were discharged after treatment, no death occurred during the perioperation. Conclusion Enhancing the refinement of surgical operations, the postoperative observation and the management of drainage tube are the key to the prevention and treatment of complications after laparoscopic gastrectomy.

关 键 词：腹腔镜 胃肿瘤 手术后并发症 

分 类 号：R735.2[医药卫生—肿瘤]