• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >General complications following laparoscopic-assisted gastrectomy and analysis of techniques to manage them.
【24h】

General complications following laparoscopic-assisted gastrectomy and analysis of techniques to manage them.

机译：腹腔镜辅助胃切除术后的一般并发症及其治疗技术分析。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: The aim of this study was to assess the complications associated with the laparoscopic treatment of gastric cancer and to discuss their management. METHODS: From March 2004 to June 2007, 302 patients affected by gastric adenocarcinoma underwent laparoscopy-assisted gastrectomy. Of the 302 gastric malignancy cases, distal gastrectomy was performed in 161 cases, proximal gastrectomy in 62 cases, and total gastrectomy in 79 cases. In all cases, D1 or D2 lymph node dissection was performed according to the recommended procedures of the Japanese Gastric Cancer Association. RESULTS: Duration of surgery ranged from 180 to 310 min (median 230 min). There were no deaths during surgery and no anesthesiology complications in our series. We recorded 15 (4.97%) intraoperative complications: one transverse colon perforation, one lesion of the liver, two cases of splenic laceration, one injury of cystic artery leading to gangrene of the gallbladder, nine cases of hemorrhage, and one biliary tract injury. Conversion to open surgery was necessary in only five cases (1.7%). We recorded 21 (7.0%) postoperative complications: four cases of intra-abdominal bleeding, seven cases of duodenal stump leakage, one case of duodenal stump leakage followed by arteriole hemorrhage due to fundus of the stomach, two cases of acute pancreatitis, one case of lymphatic fistula, one case of anastomotic fistula, three cases of delayed gastric emptying, and two cases of obstruction of afferent loop. Six patients underwent reoperation, of whom two died after the procedure while the other four recovered postoperatively; other postoperative complications were treated conservatively. The overall operative morbidity and mortality rates were 11.9% and 0.7%, respectively. CONCLUSION: Our results show that laparoscopic-assisted gastrectomy is an adequate treatment for gastric cancer as long as the indications are controlled and only suitable cases are enrolled in the series. The complication rate is low enough to be acceptable. Most complications can be treated effectively via conservative treatment, and only a small number of cases require reoperation.
机译：背景：这项研究的目的是评估与腹腔镜治疗胃癌相关的并发症并讨论其治疗方法。方法：2004年3月至2007年6月，对302例胃腺癌患者进行了腹腔镜辅助胃切除术。 302例胃恶性肿瘤中，远端胃切除术161例，近端胃切除术62例，全胃切除术79例。在所有情况下，根据日本胃癌协会的推荐程序进行D1或D2淋巴结清扫术。结果：手术时间为180至310分钟（中位数为230分钟）。在我们的系列中，没有手术期间死亡，也没有麻醉并发症。我们记录了15例（4.97％）的术中并发症：1例结肠横向穿孔，1例肝脏病变，2例脾裂伤，1例胆囊动脉损伤导致胆囊坏疽，9例出血和1例胆道损伤。仅五例（1.7％）需要转换为开放手术。我们记录了21例（占7.0％）的术后并发症：4例腹腔内出血，7例十二指肠残端漏出，1例十二指肠残端漏失继而由于胃底引起小动脉出血，2例急性胰腺炎，1例淋巴瘘，吻合口瘘1例，胃排空延迟3例，梗阻传入环2例。 6例患者接受了再次手术，其中2例在手术后死亡，而其他4例在术后康复。其他术后并发症均保守治疗。总体手术发病率和死亡率分别为11.9％和0.7％。结论：我们的研究结果表明，只要控制适应症且只有合适的病例入组，腹腔镜辅助胃切除术是治疗胃癌的适当方法。并发症发生率低到可以接受的程度。多数并发症可以通过保守治疗得到有效治疗，只有少数病例需要再次手术。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号