胃癌合并胆囊结石同期手术治疗58例临床分析

Radical gastrectomy combined with simultaneous cholecystectomy for patients with gastric cancer and gallstone:A report of 58 cases

目的探讨胃癌合并胆囊结石同期手术治疗的可行性及临床效果。方法对58例胃癌合并胆囊结石病人同时行手术治疗,并与同期58例单纯胃癌手术病人进行对照分析。结果两组病人的手术时间、术中出血量、术后3d引流量、住院时间、术后并发症等比较,差异均无统计学意义(P>0.05)。化疗完全结束3个月后随访结果显示,两组病人的营养状况、胃切除术后胃肠道并发症发生率等情况相近,差异亦无统计学意义(P>0.05)。结论对胃癌合并胆囊结石的病人同时行胃癌根治术与胆囊切除术是安全可行的,不增加手术风险与远期胃切除术后胃肠道并发症发生率。

Objective To sum up the clinical experience of radical gastrectomy combined with simultaneous cholecystectomy for patients with gastric cancer and gallstone. Methods The 58 cases of gastric cancer and gallstone and 58 cases of gastric cancer without gallstone treated in our hospital were retrospectively analyzed. Results There was no difference between the two groups in the mean operative time, mean intraoperative blood loss, mean postoperative drainage volume, mean hospital stay and postoperative complication. Long-term follow-up revealed that the nutritional status and complications of gastrointestinal tract were similar. Conclusion The radical gastrectomy combined with simultaneous cholecystectomy for patients with gastric cancer and gallstone is safe and feasible, and it doesn＇ t increase the surgical risk and complications of gastrointestinal tract.