腹腔镜胃癌根治术后近期再手术的临床体会(附13例报告)  

Clinical experience of reoperations after laparoscopic radical surgery for gastric cancer: with a report of 13 cases

作　　者：姜宝飞[1] 王霄鹏 刘卫东[1] 陈剑[1] JIANG Bao-fei;WANG Xiao-peng;LIU Wei-dong(Department of Gastrointestinal Surgery,Huai’an First Hospital of Nanjing Medical University,Huai’an 223000,China)

机构地区：[1]南京医科大学附属淮安第一医院,江苏淮安223000

出　　处：《腹腔镜外科杂志》2018年第11期858-860,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜胃癌根治术后近期再手术的原因及防范措施。方法:回顾分析2009年1月至2016年12月腹腔镜胃癌根治术后近期再手术的13例患者的临床资料。结果:13例患者经再手术治疗后均获痊愈,其中再手术后发生并发症5例,其中腹腔脓肿1例,切口感染2例,左侧胸腔积液1例,右下肢深静脉血栓1例,均行对症治疗,腹腔脓肿及胸腔积液患者均经彩超定位置管引流后恢复良好。结论:严格规范的手术操作、关闭消化道重建后特殊间隙及针对腹腔镜胃癌患者的特殊措施是减少腹腔镜胃癌根治术后近期再手术的关键。Objective:To explore the causes and preventive measures for reoperation shortly after laparoscopic gastric cancer surgery.Methods:The clinical data of 13 patients who underwent short-term reoperation after laparoscopic radical surgery for rectal cancer were retrospectively analyzed from Jan.2009 to Dec.2016.Results:All of the 13 patients were cured after the reoperation.Five patients suffered from postoperative complications including 1 with abdominal residual abscess,2 with infected incision,1 with pleural effusion and 1 with thrombosis in the deep veins of lower limb.All of them were cured by expectant treatments,the patients with abdominal residual abscess and pleural effusion were treated by color Doppler positioning and drainage.Conclusions:The key to reducing the rate of reoperation shortly after laparoscopic gastric cancer surgery includes standardized operative procedures,closure of special clearance and adopting special measures.

关 键 词：胃肿瘤 胃癌根治术 腹腔镜检查 再手术 

分 类 号：R656.61[医药卫生—外科学]