胃癌根治术后淋巴漏的原因及防治  

Clinical Analysis of Lymphatic Leakage After Gastric Cancer Radical Surgery

作　　者：潘曙光[1,2] 左朝晖[1,2] 欧阳永忠[1,2] 汤明[1,2] 唐卫[1,2] 权虎[1,2] 

机构地区：[1]湘雅医学院附属肿瘤医院 [2]湖南省肿瘤医院,湖南长沙410013

出　　处：《临床医学工程》2014年第9期1137-1138,共2页Clinical Medicine & Engineering

摘　　要：目的探讨胃癌根治术后淋巴漏发生的原因及防治。方法回顾性分析2010年11月至2014年1月间在我院行胃癌根治术胃癌患者535例的临床资料。结果 D2+淋巴清扫术后淋巴漏发生率为5.74%(12/209),明显高于D2淋巴清扫术后淋巴漏的发生率2.14%(7/326)。胃癌术后病理越晚术后淋巴漏发生率越高。术后淋巴漏经非手术治疗可痊愈。结论胃癌根治术后淋巴漏的发生与淋巴清扫范围和胃癌术后病理分期密切相关,非手术治疗是术后淋巴漏的主要和有效的治疗方法。Objective To investigation the reasons, prevention and treatment for lymphatic leakage after gastric cancer radical surgery. Methods The clinical data of 535 cases of gastric cancer patients with radical operation in our hospital from November 2010 to January 2014 were analyzed retrospectively. Results The incidence of lymphatic leakage after D2 lymph node dissection was 5.74% （12/ 209）, significantly higher than that after D2 lymph node dissection （7/326, 2.14%）. The incidence of lymphatic leakage was positively related to postoperative gastric pathology stage. Lymphatic leakage after gastric cancer radical surgery could be cured with non-surgical treatment. Conclusions The occurrence of lymphatic leakage after gastric cancer radical surgery is closely related to the range of lymph node dissection and postoperative pathological stage. Non-surgical treatment is a major and effective treatment for lymphatic leakage after gastric cancer radical surgery.

关 键 词：胃癌 淋巴结切除 淋巴漏 

分 类 号：R735.2[医药卫生—肿瘤]