摘要
目的探讨胃癌根治术附加胆囊切除术的必要性. 方法选取1999年～2001年我院保留迷走神经肝胆支的胃癌根治术80例,测量术前、术后空腹胆囊容积、胆囊收缩功能及胆囊结石情况并进行对照分析. 结果术后空腹胆囊收缩功能较术前明显降低(P<0.01),术后2年检查发现有8例(10.12%)胆囊结石发生. 结论胃癌根治术附加保留迷走神经肝胆支不能完全预防术后胆囊炎、胆囊结石的发生;胃癌根治术附加胆囊切除术有其必要性.
Objective To investigate the signific an ce of the cholecystectomy in radical surgery of gastric carcinoma. M ethods 80 cases of hepatocystic vagus-preserved radical surgery of gastric carcinoma from 1999 to 2001 were retrospectively reviewed with regard to pre-and postoperative gallbladder volume in fasting, contractibility of gallbl adder, and incidence of gallbladder stones. Result Contractibility of gallbladder significantly lowered postoperatively( P <0.0 1). Gallbladder stone occured in 8 cases(10.12%) with 2 years follow-up. Conclusion Cholecystitis and gallbladder stone can not be avoided completely by preservation of hepatocystic vagus, indicating the nece ssity of cholecystectomy in the radical surgery of gastic carcinoma.
出处
《中国现代手术学杂志》
2005年第1期17-18,共2页
Chinese Journal of Modern Operative Surgery
