胃癌根治手术相关副损伤及并发症的防治  

Prevention of Surgery-Related Injury and Complications in Radical Operation for Gastric Cancer

作　　者：张汝鹏[1] 王学军[1] 梁寒[1] 

机构地区：[1]天津医科大学附属肿瘤医院胃部肿瘤科.天津市肿瘤防治重点实验室,天津市300060

出　　处：《中国肿瘤临床》2012年第20期1485-1488,共4页Chinese Journal of Clinical Oncology

摘　　要：D2根治术是胃癌治疗的标准术式,相较一般胃切除手术需要更大范围的解剖、分离、切除,胃癌根治术中相关副损伤及相关术后并发症明显增加。术中相关副损伤常见有肝脏损伤、脾脏损伤、胰腺损伤、胆总管损伤、胃周血管损伤、淋巴管损伤等,术后可出现出血、急性胆囊炎、腹腔积液和脓肿等并发症。施行D2手术要求外科医师必须要有良好的解剖学知识、娴熟的手术操作技巧和良好的心理素质,熟悉根治手术相关副损伤及重视术后并发症的处理,一旦出现应及时作出准确判断和正确处理。Objective： D2 radical gastrectomy is currently the stanaara quires a more extensive anatomic separation and resection compared with the conventional mode of surgery. Thus, intraoperative-related injury and postoperative complications are significantly increased during the radical gastrectomy. Surgery-related injury often includes injuries of the liver, spleen, pancreas, common bile duct, peri-gastric blood vessel, and lymphatic vessels. Several postoperative complications may occur, such as postoperative bleeding, acute cholecystitis, hydrops abdominis, and abscess. Surgeons who will perform the D2 operation should be skilled in surgical techniques and have adequate anatomical knowledge and satisfactory psychological diathesis. Accurate judgment and correct management are necessary because surgery-related injury and postoperative complications may occur. TRM staging system was superior to the TNM staging system for prognostic assessment of gastric cancer.

关 键 词：胃肿瘤 胃癌根治术副损伤 并发症预防 

分 类 号：R735.2[医药卫生—肿瘤]