| 胃癌D2根治术后胰漏及其相关因素分析 |
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| 引用本文： | 陈伟东,刘凤林,沈振斌,沈坤堂,孙益红,秦净,秦新裕. 胃癌D2根治术后胰漏及其相关因素分析[J]. 中华胃肠外科杂志, 2010, 13(1): 421-423. DOI: 10.3760/cma.j.issn.1671-0274.2010.06.014 |
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| 作者姓名： | 陈伟东 刘凤林 沈振斌 沈坤堂 孙益红 秦净 秦新裕 |
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| 作者单位： | 复旦大学附属中山医院普通外科,复旦大学普通外科研究所,200032; |
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| 摘 要： | 目的 分析胃癌D2根治术后胰漏的发生率及其原因.方法 连续收集2009年7月1日至12月31日间经复旦大学附属中山医院胃癌专业组收治132例胃癌D2根治术患者的临床资料,测定术后第1、4、7天腹腔引流液及血清淀粉酶浓度,根据术后第1天的腹腔引流液淀粉酶值诊断胰漏.观察胰漏的发生率,并结合临床资料分析影响胰漏发生的因素.结果本组胰漏发生率为17.4%.胰漏的发生与患者年龄、性别、肿瘤部位、肿瘤分期、N分期、切除范围、引流液量及术后血清淀粉酶值无关.结论 胰漏在胃癌D2根治术后发生率较高,术中需常规预防性腹腔引流.
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| 关 键 词： | 胃肿瘤 胃切除术 胰漏 |
Risk factors for postoperative pancreatic leakage after D2 resection of gastric cancer |
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| CHEN Wei-dong,LIU Feng-lin,SHEN Zhen-bin,SHEN Kun-tang,SUN Yi-hong,QIN Jing,QIN Xin-yu. Risk factors for postoperative pancreatic leakage after D2 resection of gastric cancer[J]. Chinese journal of gastrointestinal surgery, 2010, 13(1): 421-423. DOI: 10.3760/cma.j.issn.1671-0274.2010.06.014 |
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| Authors: | CHEN Wei-dong LIU Feng-lin SHEN Zhen-bin SHEN Kun-tang SUN Yi-hong QIN Jing QIN Xin-yu |
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| Abstract: | Objective To investigate the incidence of pancreatic fistula following D2 gastrectomy and associated risk factors. Methods A total of 132 consecutive cases of gastric cancer underwent D2 gastrectomy between Jul 1, 2009 and Dec 2009. Amylase concentration of the drainage fluid and serum amylase concentration were tested on day 1, 4, 7 after operation. Univariate analyses were performed to evaluate the significance of various covariates as risk factors for the pancreatic fistula-related complications. Results The incidence of pancreatic fistula was 17.4%. None of the following factors including age, gender, tumor location, tumor stage, N stage, range of resection, fistula output, and serum amylase were associated with pancreatic fistula. Conclusion The incidence of pancreatic fistula following D2 gastrectomy is high. Drainage tube is necessary to prevent serious complications. |
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| Keywords: | Stomach neoplasmsGastrectomyPancreatic leakage |
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