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胃癌根治術中十二指腸殘端加固縫合問題

發(fā)布時間:2018-02-28 13:46

  本文關鍵詞: 胃癌根治術 十二指腸殘端 縫合 出處:《中國實用外科雜志》2017年04期  論文類型:期刊論文


【摘要】:正于吉人(浙江大學醫(yī)學院附屬第一醫(yī)院胃腸外科)十二指腸殘端處理是胃癌根治手術的關鍵步驟之一,處置不當極易導致發(fā)生十二指腸殘端漏、出血等并發(fā)癥,輕則增加病人痛苦、延長住院時間、增加住院費用、延誤病人全身化療及其他后續(xù)治療時機,重則導致病人死亡。筆者認為,恰當?shù)臍埗思庸炭p合技術是減少甚至避免十二指腸殘段并發(fā)癥發(fā)生的關鍵環(huán)節(jié)。筆者單位在胃癌根治手術中常規(guī)行十二指腸殘端的加固縫合,達到了有效避免十二指
[Abstract]:Duodenal stump management is one of the key steps in radical gastrectomy for gastric cancer. Improper management of duodenal stump can easily lead to duodenal stump leakage, bleeding and other complications. The light increases the patient's suffering, prolongs the length of stay in hospital, increases the cost of hospitalization, delays the patient's opportunity for systemic chemotherapy and other follow-up treatment, and results in the death of the patient. Proper stump reinforcement and suture technique is the key link to reduce or even avoid the complications of duodenal remnant. The authors routinely performed the stapling suture of duodenal stump in radical gastric cancer operation, which can effectively avoid 12 fingers of duodenal stump.
【分類號】:R735.2
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本文編號:1547549

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