胃癌联合脏器切除规范化实施若干问题  

Combined multiple organ resection in the standardized treatment of gastric cancer

作　　者：何裕隆[1] 

机构地区：[1]中山大学附属第一医院胃肠胰外科中山大学胃癌诊治研究中心,广东广州510080

出　　处：《中国实用外科杂志》2014年第7期624-627,共4页Chinese Journal of Practical Surgery

摘　　要：针对部分进展期胃癌病人,胃癌联合脏器切除术不仅可以缓解症状,改善生活质量,甚至有的病例可以达到根治而长期存活。但是胃癌联合脏器切除术难度大,手术死亡率较高,并发症较多,故胃癌联合脏器切除术前应恰当地掌握手术指征,充分进行术前准备,正确判断可切除性,充分与病人沟通后周密设计手术方案,术中应进行细致有序的操作,术后应注意及时发现并处理并发症,以期能够更好地改善病人预后。Combined multiple organ resection for gastric cancer can not only relieve the symptom and improve the quality of life but also get long term survival. But it is associated with high morbidity and mortality. It is necessary to choose patients carefully. Good preoperative preparation need to be done, and the risk of operation should be weighed against the benefit of surgery. After the communication with the patient, it should propose a surgery plan thoughtfully. During the operation, the surgical procedures should be fine and ordered. It should observe and handle the complication in time in order to improve the prognosis of patient.

关 键 词：联合脏器切除 胃癌 预后 

分 类 号：R6[医药卫生—外科学]