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[胃癌根治性胃切除术后罕见并发症的诊断、预防及治疗]

[Diagnosis, prevention and treatment of post-operative rare complications after radical gastrectomy for gastric cancer].

作者信息

Liu H D, Wang L J, Xu Z K

机构信息

Department of General Surgery, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, China.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2023 Feb 25;26(2):138-143. doi: 10.3760/cma.j.cn441530-20221102-00448.

Abstract

Radical gastrectomy for gastric cancer results in various post-operative complications, and the influencing factors are complicated. The diagnosis, treatment and prevention of common complications have been reported in many literatures. However, there are few reports on the prevention and treatment of rare complications. Rare complications after radical gastrectomy are often overlooked due to their low incidence. In addition, there are few guidelines and expert consensus regarding to the rare complications. Therefore, clinicians may lack experience in the diagnosis, treatment and prevention of rare complications after radical gastrectomy. Based on the literature review and the author's experience, this article systematically reviews seven rare complications after radical gastrectomy (duodenal stump fistula, pancreatic fistula, chyle leakage, esophagomediastinal fistula, internal hernia, gastroparesis, and intussusception). This article aims to provide a comprehensive reference for the diagnosis, treatment and prevention of rare complications after radical gastrectomy for gastric cancer patients.

摘要

胃癌根治性胃切除术后会出现各种术后并发症,且影响因素复杂。许多文献报道了常见并发症的诊断、治疗和预防。然而,关于罕见并发症的防治报道较少。根治性胃切除术后的罕见并发症因其发病率低常被忽视。此外,针对罕见并发症的指南和专家共识也很少。因此,临床医生在根治性胃切除术后罕见并发症的诊断、治疗和预防方面可能缺乏经验。基于文献综述和作者经验,本文系统回顾了根治性胃切除术后七种罕见并发症(十二指肠残端瘘、胰瘘、乳糜漏、食管纵隔瘘、内疝、胃瘫和肠套叠)。本文旨在为胃癌患者根治性胃切除术后罕见并发症的诊断、治疗和预防提供全面参考。

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