摘要
目的探讨胃癌根治术后胰瘘发生的原因及诊治.方法对同一手术组连续施行的723例胃癌根治术患者的临床资料进行回顾性分析,探讨胰瘘的诊断及处理方法.结果 72例患者术后共6例发生临床胰瘘(0.83%).其中5例经非手术治疗治愈,1例行再次手术引流后治愈.结论术中胰腺损伤是发生胰瘘的主要原因;早期诊断、通畅的引流是保证胰瘘治愈的关键.
Objectives To analyze the radical gastrectomy for gastric cancer. Methods etiology, diagnosis and treatment of pancreatic fistula after D2 The clinical data of 723 continuous cases underwent D2 radical gastrectomy for gastric cancer by a same operation group, were retrospectively analyzed. The the diagnosis and treatment process of pancreatic fistula after D2 radical gastrectomy was discussed. Results Of the 723 patients, postoperative clinical pancreatic fistula occurred in 6 patients. 5 cases of pancreatic fistula were cured by non-operation treatment. Only 1 case was cured after operative drainage again. Conclusions Pancreatic injury is the main cause of the occurrence of pancreatic fistula. Early diagnosis and sufficient drainage is the key of the full recovery from pancreatic fistula.
出处
《昆明医科大学学报》
CAS
2013年第2期87-90,共4页
Journal of Kunming Medical University
基金
云南省教育厅科学研究基金资助项目(2010Y170)
关键词
胃癌
根治性切除
胰瘘
Gastric cancer
Radical gastrectomy
Pancreatic fistula
