期刊文献+

胃癌全胃胰体尾脾脏切除手术的操作分析 被引量:4

Clinical analysis of total gastrectomy and pancreatic splenectomy for gastric cancer
原文传递
导出
摘要 为了探讨胃癌全胃胰体尾脾脏联合脏器切除手术的手术操作技巧,分析全胃+胰体尾切除手术160例胃癌患者临床资料,按手术操作方式不同分为改良组80例和传统组80例,对比2组手术时间及术中出血量。结果改良组平均手术时间为88.84min,传统组为165.68min,差异有统计学意义,P=0.042。改良组手术中平均出血342.65mL,传统组为310.87mL,差异无统计学意义,P=0.068。初步研究结果提示,胃癌全胃胰体尾脾脏联合脏器切除手术改良操作组比传统组手术时间缩短,操作相对简单,降低了手术风险。 The objective of this study was to investigate the improvement of total gastrectomy and pancreatic splenectomy,and improve the surgical technique.A total of 160 patients were assigned into 2 groups according to the modus operandi,namely the group of improved total gastrectomy and pancreatic splenectomy(80 patients) and traditional one(80 patients).The therapeutic efficacy of the two approaches were compared.In the group of traditional total gastrectomy and pancreatic splenectomy,the average volume of hemorrhage was 310.87 mL,average operative time 165.68 min.In the group of improvement total gastrectomy and pancreatic splenectomy,the two parameters were 342.65 mL and 88.84 min respectively.There was a significant difference between the two groups in terms of the therapeutic efficacy.In conclusion,improved total gastrectomy and pancreatic splenectomy is the better alternative to traditional one for operation of gastric cancer.
出处 《中华肿瘤防治杂志》 CAS 2011年第17期1402-1403,共2页 Chinese Journal of Cancer Prevention and Treatment
关键词 胃肿瘤 全胃胰体尾脾脏切除 手术方式 手术时间 Gastric neoplasms total gastrectomy and pancreatic splenectomy modus operandi operative time
  • 相关文献

参考文献6

二级参考文献56

共引文献33

同被引文献38

  • 1康忠诚,吴飞跃.联合脏器切除治疗原发性腹膜后肿瘤的评价[J].中国现代医学杂志,2006,16(14):2218-2219. 被引量:9
  • 2Bilimofia MM, Cormier JN, Mun Y, et al. Pancreatic leak after left pancreatectomy is reduced following main pancreatic duct ligation [J]. Br J Surg, 2003,90(2) : 190-196. 被引量:1
  • 3Suc B, Msika S, Fingerhut A, et al. Temporary fibrin glue occlusion of the main pancreatic duct in the prevention of inta- abdominal complications after pancreatic resection: prospective randomized trial [ J ]. Ann Surg, 2003,237 ( 1 ) : 57-65. 被引量:1
  • 4Walters DM, Stoke JB, Adams RB, et al. Use of a falciform ligament pedicle flap to decrease pancreatic fistula after distal pancreatectomy [ J ]. Pancreas, 2011,40 (4) : 595-599. 被引量:1
  • 5Songun I, vande Velde CJ. Optimal surgery for advancedgastric- cancer[J]. Expert Rev Anticancer Ther, 2009,9 ( 12 ) : 1849-1858. 被引量:1
  • 6Oh SJ, Hyung WJ, Li C, et al. The effect of spleen-preserving lym- phadenectomy on surgical outcomes of locally advancedproximal gastriccancer[J]. J Surg Oncol, 2009,99(5 ):275-280. 被引量:1
  • 7Nashimoto A, Yabusaki H, Matsuki A, et al. The significance of splenectomy for advancedproximal gastriccancer[J]. Int J Surg On- col, 2012,22(30):1530-1534. 被引量:1
  • 8Jia-Bin W, Chang-Ming H, Chao-Hui Z, et al. Laparoscopic spleen-preserving No.10 lymph node dissection for advancedprox- imal gastriccancer in left approach: a new operation procedure[J]. World J Surg Oncol, 2012,10(6):241-245. 被引量:1
  • 9Lu J, Huang CM, Zheng CH, et al. Learning curve of laparoscopy spleen-preserving splenic hilar lymph node dissection for ad- vanced upper gastric cancer [J]. Hepatogastroenterology, 2012,60 (23):122-125. 被引量:1
  • 10Cotta-Pereira R, Awad M. Multivisceral radical en bloc resection with spleen preservation in T4 gastriccancer [J]. BMJ Case Rep, 2010,20( 14):1022-1025. 被引量:1

引证文献4

二级引证文献10

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部