胃肠道肿瘤联合脏器切除及相关并发症  

Combined organs resection and complications of gastrointestinal tumors

作　　者：胡建昆[1] 陈心足[1] 陈小龙[1] 

机构地区：[1]四川大学华西医院胃肠外科中心,四川成都610041

出　　处：《中国实用外科杂志》2013年第4期289-292,共4页Chinese Journal of Practical Surgery

基　　金：国家自然科学基金(81071777);国家教育部新世纪优秀人才支持计划(2012SCU-NCET-11-0343);中央高校基本科研业务费专项资金;四川大学优秀青年学者科研基金(2011SCU04B19)

摘　　要：联合脏器切除术是局部晚期胃肠道肿瘤的外科治疗手段。其手术技术复杂、创伤大、预后尚无定论,因此需要严格掌握手术适应证,避免不恰当的联合脏器切除决策导致过度医疗。术者需术前充分的影像学评估预判、术中对可切除性的仔细判定、熟悉各类联合切除术式的解剖径路、认识不同联合脏器切除的相应并发症、强化围手术期准备和管理,使联合脏器切除达到安全有效的目的。Combined organs resection is a surgical treatment for locally advanced gastrointestinal tumors. Due to the complicated surgical technique, more severe iatrogenic trauma and uncertain prognosis, the operation indication should be strictly limited to prevent inappropriate decision of combined organs resection from over-treatment. Surgeons require sufficient evaluation through preoperative imaging, careful judgment of resectability intraoperatively, full familiarity with surgical anatomy and procedures of combined resection, well understanding of relevant postoperative complications, and also extensive perioperative management, so that combined organs resection could be more safe and efficient.

关 键 词：胃肠道肿瘤 联合脏器切除 并发症 

分 类 号：R6[医药卫生—外科学]