胃癌术中脾门损伤的处理  

Treatment of hilus lienis injury during radical gastrectomy

作　　者：沈晓军[1] 刘刚[1] 

机构地区：[1]江苏大学附属昆山医院昆山市第一人民医院胃肠外科,江苏昆山215300

出　　处：《腹部外科》2014年第4期295-297,共3页Journal of Abdominal Surgery

摘　　要：目的探讨胃癌根治术中脾门损伤的处理方法，降低脾脏切除率。方法回顾分析2008年3月至2014年3月行胃癌手术中发生脾门损伤的6例患者病例资料，术中全部采用血管缝线缝合法进行处理。结果经过缝合法处理后，全部患者均得到有效的止血，部分患者出现脾脏节段性缺血，无脾脏切除病例；全组术后均未出现与脾脏损伤相关的并发症。结论胃癌术中脾门损伤并非脾脏切除的指针，采用血管缝线缝合法来保脾，方法简单易行，效果确切。Objective To explore the treatment of hilus lienis injury and reduce splenectomy rate during radical gastrectomy. Methods Between March 2008 and March 2014, 6 patients suffered hilus lienis injury during radical gastrectomy. And intraoperative vascular suturing was adopted. Re- sults After suturing, effective hemostasis was obtained in all cases. Some of them had spleen segmental ischemia. None of them underwent splenectomy. There was no occurrence of postoperative complications associated with spleen injury. Conclusions Spleen injury is not an indication of splenectomy during gastric cancer operation. And vascular suturing may be used for protecting spleen. The method is both simple and efficacious.

关 键 词：胃肿瘤 脾 创伤和损伤 

分 类 号：R735.2[医药卫生—肿瘤]