腹腔镜胃癌术后腹内疝的诊断与治疗

Diagnosis and treatment of internal hernia after laparoscopic surgery for gastric cancer

随着腹腔镜胃癌手术的发展,越来越多的外科医师将腹腔镜甚至完全腹腔镜技术应用于胃癌手术。但技术进步带来的不仅是更小创伤,可能还有新的问题和风险。与传统开腹手术比较,腹腔镜胃癌术后更高的腹内疝发生率是需要重视和解决的问题。由于腹内疝多发生于出院后,患者因病程紧急会选择就近的医院进行诊断和治疗,因其诊断困难常易延误治疗导致严重的并发症甚至死亡。笔者查阅近年腹腔镜胃癌术后腹内疝的相关研究并结合团队实践经验,探讨该病的诊断与治疗策略,旨在提高临床医师对其重视程度,为其诊断与治疗提供参考。

With the development of laparoscopic surgery for gastric cancer,more and more surgeons use laparoscopic techniques and even totally laparoscopic techniques in gastric cancer surgery.However,technological progress brings not only smaller trauma,but also new problems and risks.Compared with traditional open surgery,the high incidence of internal hernia after laparoscopic gastric cancer surgery is an urgent problem to be solved.As the incidence of internal hernia often occurs after discharge,patients usually choose the nearest hospital for diagnosis and treatment due to the urgent course of disease.As a result,patients with internal hernia often have serious complications due to delayed treatment because of the difficulty in diagnosis.Sometimes,there are patients even death.The authors review the relevant research on postoperative internal hernia of gastric cancer in recent years and combine with practical experience to discuss the diagnosis and treatment strategy of internal hernia after laparoscopic surgery for gastric cancer,aiming to improve the clinicians'attention to the disease and provide reference for its diagnosis and treatment.