| 胃癌术后梗阻性黄疸的手术治疗 |
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| 引用本文： | 唐才喜,冯斌,杨凯庆,周伦祥. 胃癌术后梗阻性黄疸的手术治疗[J]. 中国现代手术学杂志, 2006, 10(3): 198-200 |
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| 作者姓名： | 唐才喜 冯斌 杨凯庆 周伦祥 |
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| 作者单位： | 湖南省株洲市一医院肝胆外科,株洲,412000 |
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| 摘 要： | 目的总结胃癌术后梗阻性黄疸的手术治疗效果。方法对15例胃癌术后梗阻性黄疸患者施行再手术治疗,其中根治性切除术5例,姑息性减黄术10例。结果1例行残胃切除 肝外胆道切除 胆道和消化道重建的患者术后7d死于胆瘘,其余患者黄疸平均于术后16.8(5～27)d消退。生存期平均12.9个月(7d～66个月),其中根治性切除平均24.8个月(7d～66个月),姑息性减黄手术平均7.0(2～17)个月。结论对胃癌术后梗阻性黄疸患者,条件许可时施行根治性切除术可提高根治率,延长生存时间;对无法根治者施行减黄手术可缓解症状,提高生存质量。
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| 关 键 词： | 胃肿瘤 黄疸 梗阻性 再手术 |
| 文章编号： | 1009-2188(2006)03-0198-03 |
| 收稿时间： | 2006-03-05 |
| 修稿时间： | 2006-06-05 |
Surgical Treatment for Obstructive Jaundice after Surgery of Gastric Cancer |
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| TANG Cai-xi,FENG Bin,YANG Kai-qing,ZHOU Lun-xiang. Surgical Treatment for Obstructive Jaundice after Surgery of Gastric Cancer[J]. Chinese Journal of Modern Operative Surgery, 2006, 10(3): 198-200 |
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| Authors: | TANG Cai-xi FENG Bin YANG Kai-qing ZHOU Lun-xiang |
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| Affiliation: | Department of Hepatobiliary Surgery, the First Hospital of Zhuzhou, Zhuzhou 412000, Hunan, China |
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| Abstract: | Objective To assess the surgical treatment for obstructive jaundice after surgery of gastric cancer. Method 15 cases of obstructive jaundice with previous surgery for gastric cancer were surgically treated, including radical surgery in 5 cases, palliative surgery in 10 cases. Result 1 case underwent remnant stomach removal in combination with extrahepatic bile ductal excision and reconstruction died of bile leakage at postoperative day 7. The jaundice was vanished within 16.8 days in average in the rest cases. Mean survival time was 12.9 months, including 24.8 months for the radical surgery and 7.0 months for the palliative surgery. Conclusion Radical surgery for obstructive jaundice after surgery for gastric cancer can be indicated in some cases and achieve improved survival rate, the palliative is otherwise indicated for the incurable patients. |
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| Keywords: | stomach neoplasms jaundice obstructive reoperation |
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