Gao Jia-Sen, Wang Zhen-Jun, Wei Guang-Hui, Song Wei-Liang, Yi Bing-Qiang, Gao Zhi-Gang, Zhao Bo, Liu Zuo, Li Ang
Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.
World J Gastroenterol. 2009 Feb 21;15(7):885-7. doi: 10.3748/wjg.15.885.
The treatment of gastric carcinoma consists of neoadjuvant chemoradiation, partial gastrectomy, subtotal gastrectomy, total gastrectomy, extended resection, and postoperative chemotherapy. Currently, gastrectomy and extended lymphadenectomy is the optimal choice for late gastric carcinoma. Postoperative complications are common after total gastrectomy including hemorrhage, anastomotic leakage, fistula, and obstruction. However, deep venous thrombosis (DVT) is an uncommon complication after gastrectomy for gastric carcinoma. We describe a case of a 68-year-old female patient with DVT after gastrectomy for gastric carcinoma. The patient was treated with anticoagulants and thrombolytics and subjected to necessary laboratory monitoring. The patient recovered well after treatment and was symptom-free during a 3-mo follow-up. We conclude that correct diagnosis and treatment of DVT are crucial.
胃癌的治疗包括新辅助放化疗、部分胃切除术、次全胃切除术、全胃切除术、扩大切除术及术后化疗。目前,胃切除术及扩大淋巴结清扫术是晚期胃癌的最佳选择。全胃切除术后常见的并发症包括出血、吻合口漏、瘘和梗阻。然而,深静脉血栓形成(DVT)是胃癌胃切除术后不常见的并发症。我们报道一例68岁女性患者,在胃癌胃切除术后发生DVT。该患者接受了抗凝剂和溶栓剂治疗,并进行了必要的实验室监测。治疗后患者恢复良好,在3个月的随访期间无症状。我们得出结论,DVT的正确诊断和治疗至关重要。