胃癌术后吻合口相关并发症防治

Prevention and treatment of anastomosis-related complications after gastrectomy for gastric cancer

随着外科操作及吻合器械的进步,吻合口相关并发症的发生率已明显降低,但仍时有发生。一旦发生吻合口相关的并发症,不仅增加病人的病死率,延长住院天数,还可能因为影响后续治疗的开展导致病人远期生存受损。因此,外科医生应不断提高自身的手术操作技巧及对胃肠道解剖生理学特征、吻合口组织愈合机制和影响愈合的全身及局部因素等的认识,科学地预防及处理吻合口并发症,降低其发生率及对病人的影响。

Although the incidence has been well improved as the development of surgical manipulations and instruments for anastomosis, anastomosis-related complications are inevitable sometimes. If the anastomosis-related complications happen, not only the mortality of patients and length of hospital stay were increased, but the subsequent treatments were also delayed and the long-term prognosis of patients was impacted finally. Therefore, in order to decease its incidence and impacts on the patients, surgeons should prevent and treat the anastomosis-related complications scientifically through improving the surgical manipulations and increasing the knowledge about anatomic and physiological features of gastrointestinal tract, mechanisms of anastomotic tissue healing, and systemic and local factors which could influence the tissue healing of anastomosis.