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.
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