期刊文献+

胃癌根治术后腹腔淋巴漏14例处理体会 被引量:2

The experience of treatment of celiac lymphatic leak of 14 cases of radical gastrectomy
下载PDF
导出
摘要 目的:探讨胃癌根治术后腹腔淋巴漏的发生原因及治疗方法。方法:对确诊的术后淋巴漏14例患者禁食,完全肠外营养,补充白蛋白,必要时补充血浆,并应用生长抑素治疗。结果:胃癌术后淋巴漏发生率1.99%,发生淋巴漏的时间为术后第4~7天;每天最大引流量为1 800 ml;14例均痊愈。结论:胃癌术后淋巴漏应以术中预防为主;淋巴漏治疗首选支持及保守治疗。 Objective: To investigate the causes and treatments of celiac lymphatic leak of patients underwent radical gastrectomy. Methods:Fourteen cases with lymphatic leak after radical gastrectomy were treated with fasting, total parenteral nutrition, supplement of albumin, supplementary plasma and somatostatin. Results:The incidence rate of celiac lymphatic leak was 1.99% , the leak occurrence time was the 4th to 7th day and the maximum drainage volume was 1 800 ml per day after radical gastrectomy. Fourteen patients were all cured. Conclusions:Intraoperative prevention is major measures and conservative treatment is the first choice for lymphatic leak.
作者 张巨合 徐皓
出处 《蚌埠医学院学报》 CAS 2012年第7期795-796,共2页 Journal of Bengbu Medical College
关键词 胃肿瘤 淋巴结清除术 淋巴漏 gastric neoplasms lymph node dissection lymphatic leak
  • 相关文献

参考文献6

二级参考文献36

  • 1俞耀军,郑志强,林胜璋,吴伟军,谢作楷,王继生,游涛.胃癌淋巴结清扫术所致淋巴漏的防治[J].中华普通外科杂志,2005,20(8):495-496. 被引量:47
  • 2[3]Caseinus S,Catalano V,Giordani P,et al.Gastrointestnal cancer refractory to chemotherapy:A role for Oetreotide[J].Arch Dis Child,2001,47(2):127-133.
  • 3[4]Evans AA,Crook T,Laws SAM,et al.Analysis of somatostatin receptors subtype mRNA expression in human breast cancer[J].Bt J Cancer,1997 35 (6):798-803.
  • 4Sakamoto J.Incidence of and treatment options for chyloperitoneum from the Japanese gastric surgeon's point of view[J].Gastric Cancer,2005,8(2):37-38.
  • 5Yol S,Bostanci EB,Ozogul Y,et al.A rare complication of D3 dissection for gastric carcinoma:chyloperitoneum[J].Gastric Cancer,2005,8(1):35-38.
  • 6Rajasekar A,Ravi NR,Diggory RT.Chylous ascites:a rare complication of radical gastrectomy[J].Int J Clin Pract,2000,54(3):201-203.
  • 7Halkic N,Abdelmoumene A,Suardet L,et al.Postopera-tive chylous ascites after radical gastrectomy.A case re-port[J].Minerva Chir,2003,58(3):389-391.
  • 8C6rdenas A,Chopra S.Chylous ascites[J].Am J Gastroenterol,2002,97(8):1896-1900.
  • 9Leibovitch I,Mor Y,Golomb J,et al.The diagnosis and management of postoperative chylous ascites[J].J Urol,2002,167(2 Pt 1):449-457.
  • 10Ultharri JI,Sanz Y,Fuentes C,et al.Reduction of lymphorrhagia from ruptured thoracic duct by somatostatin[J].Lancet,1990,336(8709):258.

共引文献82

同被引文献10

引证文献2

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部