摘要
随着微创新技术的迅速发展。腹腔镜和机器人手术已成为胃癌微创外科领域最主要的发展方向。已有证据表明，腹腔镜手术应用于早期胃癌和进展期胃癌安全可行。由于胃的血供丰富及周围解剖层次和淋巴转移路径复杂，胃肠外科医生需对腹腔镜胃癌手术后并发症加以更多关注。腹腔镜胃癌术后常见的并发症主要有与腹腔镜器械和操作相关的并发症、腹腔出血、吻合口出血、吻合口瘘、胰漏、十二指肠残端瘘和淋巴漏等。本文主要探讨腹腔镜胃癌术后常见并发症的原因及防治。
With the rapid advancement of minimally invasive new technology, laparoscopic surgery and robotic surgery are now regarded as the main direction in surgical treatment for stomach cancers. Recent evidence has confirmed the safety and feasibility of laparoscopic surgery for early gastric cancer and advanced gastric cancer. However, gastrointestinal surgeons should pay more attention to complications after laparoscopic gastrectomy because of rich blood supply, complex tissue layers and lymph node metastasis. Common complications related to laparoscopic surgery are associated with laparoscopic instruments and operating, intra -abdominal bleeding, anastomotic leakage, anastomotic bleeding, pancreatic leakage, duodenal stump leakage, lymphatic leakage and so on. This article mainly focuses on the causes, prevention and treatment of the complications after laparoscopic gastrectomy.
作者
苏向前
周传永
杨宏
Su Xiangqian Zhou Chuanyong Yang Hong(Department IV of Gastrointestinal Surgery, Key Laboratory of Carcinogenesis and Translational Research （Ministry of Education）, Peking University Cancer Hospital ＆ Institute, Beijing 100142, China)
出处
《中华胃肠外科杂志》
CAS
CSCD
北大核心
2017年第2期148-151,共4页
Chinese Journal of Gastrointestinal Surgery
基金
国家自然科学基金（81272766
81450028
81672439）
北京市自然科学基金（7162039）
北京市医院管理局临床医学发展专项经费资助（XM201309.ZYLX201701）
北京大学“985工程”三期临床医院合作专项
关键词
胃肿瘤
腹腔镜
机器人手术
并发症
防治
Stomach neoplasms
Laparoscopy
Robotic surgery
Complication
Prevention and treatment
