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淋巴结清扫术后并发症的管理。

Management of postoperative complications of lymphadenectomy.

作者信息

Barchi Leandro Cardoso, Charruf Amir Zeide, de Oliveira Rodrigo José, Jacob Carlos Eduardo, Cecconello Ivan, Zilberstein Bruno

机构信息

Digestive Surgery Division, Department of Gastroenterology, University of Sao Paulo School of Medicine, São Paulo, Brazil.

出版信息

Transl Gastroenterol Hepatol. 2016 Dec 27;1:92. doi: 10.21037/tgh.2016.12.05. eCollection 2016.

DOI:10.21037/tgh.2016.12.05
PMID:28138657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5244748/
Abstract

Gastric cancer remains a disease with poor prognosis, mainly due to its late diagnosis. Surgery remains as the only treatment with curative intent, where the goal is radical resection with free-margin gastrectomy and extended lymphadenectomy. Over the last two decades there has been an improvement on postoperative outcomes. However, complications rate is still not negligible even in high volume specialized centers and are directly related mainly to the type of gastric resection: total or subtotal, combined with adjacent organs resection and the extension of lymphadenectomy (D1, D2 and D3). The aim of this study is to analyze the complications specific-related to lymphadenectomy in gastric cancer surgery.

摘要

胃癌仍然是一种预后较差的疾病,主要原因是其诊断较晚。手术仍然是唯一具有治愈意图的治疗方法,其目标是进行切缘阴性的根治性胃切除术和扩大淋巴结清扫术。在过去二十年中,术后结果有所改善。然而,即使在高容量的专业中心,并发症发生率仍然不可忽视,并且主要与胃切除的类型直接相关:全胃或次全胃切除,联合相邻器官切除以及淋巴结清扫范围(D1、D2和D3)。本研究的目的是分析胃癌手术中与淋巴结清扫相关的特定并发症。

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本文引用的文献

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Scope definition and resection significance of No. 12a group lymph nodes in gastric cancer.胃癌12a组淋巴结的范围界定及清扫意义
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2
Management of high-output chylous ascites after D2-lymphadenectomy in patients with gastric cancer: a multi-center study.胃癌患者D2淋巴结清扫术后高输出量乳糜腹水的管理:一项多中心研究。
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3
Gastric cancer: Current status of lymph node dissection.胃癌:淋巴结清扫的现状
World J Gastroenterol. 2016 Mar 14;22(10):2875-93. doi: 10.3748/wjg.v22.i10.2875.
4
Diagnosis and Treatment of Abdominal Arterial Bleeding After Radical Gastrectomy: a Retrospective Analysis of 1875 Consecutive Resections for Gastric Cancer.根治性胃切除术后腹部动脉出血的诊断与治疗:1875例连续性胃癌切除术的回顾性分析
J Gastrointest Surg. 2016 Mar;20(3):510-20. doi: 10.1007/s11605-015-3049-z. Epub 2015 Dec 14.
5
Treatment options for chylous ascites after major abdominal surgery: a systematic review.腹部大手术后乳糜性腹水的治疗选择:一项系统评价
Am J Surg. 2016 Jan;211(1):206-13. doi: 10.1016/j.amjsurg.2015.04.012. Epub 2015 Jun 3.
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Endoscopic transpapillary stenting for pancreatic fistulas after necrosectomy with necrotizing pancreatitis.内镜下经乳头支架置入术治疗坏死性胰腺炎坏死组织清除术后胰瘘
Surg Endosc. 2015 Jan;29(1):108-12. doi: 10.1007/s00464-014-3645-0. Epub 2014 Jun 19.
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