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[胃癌手术治疗后的早期再次剖腹探查术]

[Early relaparotomies after surgical treatment of cancer of the stomach].

作者信息

Chernyĭ V A, Shchepotin I B, Titov V B, Smolanka I I, Skoroda L V

出版信息

Vestn Khir Im I I Grek. 1987 Oct;139(10):88-93.

PMID:2454525
Abstract

Based on the observation of 40 patients the authors consider that the greatest amount of postoperative complications in patients with gastric cancer make their appearance after reconstructive and palliative gastrectomies and combined operative interventions. Timely relaparotomy allowed saving 37.5% of the patients who had such complications as incompetence of anastomosis sutures, pancreanecrosis, peritonitis, intraabdominal abscesses. A retrospective analysis of causes of the complications allowed developing a prophylactic complex of measures which includes means of the operative technique and preparation of weakened organism of oncological patients to the foregoing operative trauma.

摘要

基于对40例患者的观察,作者认为,胃癌患者术后并发症最常出现在重建性和姑息性胃切除术后以及联合手术干预后。及时再次剖腹手术使37.5%出现诸如吻合口缝线功能不全、胰腺坏死、腹膜炎、腹腔内脓肿等并发症的患者得以挽救。对并发症原因的回顾性分析有助于制定一套预防性综合措施,其中包括手术技术手段以及使肿瘤患者虚弱的机体为上述手术创伤做好准备。

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