摘要
目的探讨胃癌并肝硬化门脉高压患者的治疗体会。方法根据病情分别行根治性远端胃次全切除、根治性近端胃次全切除、全胃切除及姑息性远端胃大部切除手术,并对临床结局进行分析。结果共死亡9例,其中因创面广泛渗血死亡3例、因肝性脑病死亡2例、因肝功能衰竭死亡4例,病死率为17.6%;发生并发症14例,其中瘘管渗出致腹腔感染4例、肝功能衰竭5例、大量腹水5例,并发症发生率为27.5%。结论胃癌并肝硬化门脉高压患者手术难度大,要对手术时机选择及围手术期慎重处理。
Objective To observe the treatment of gastric cancer with liver cirrhosis portal hypertension. Methods The condition of patients were treated by radical distal subtotal gastrectomy, radical proximal subtotal gastrectomy, total gastrectomy and distal gastrectomy palliative surgery, and clinical outcomes analysis. Results A total of 9 cases of death, including death due to bleeding wounds wide, 3 cases died due to two cases of hepatic encephalopathy due to liver failure and death in 4 cases, the mortality rate of 17.6%; 14 cases of complications, including fistula caused by peritoneal exudate infection in 4 cases, 5 cases of liver failure, massive ascites in 5 cases, complication rate was 27.5%. Conclusion Hepatic cirrhosis and portal hypertension in patients with gastric cancer surgery is difficult, to the timing of surgical and perioperative be handled carefully. Conclusion Hepatic cirrhosis and portal hypertension in patients with gastric cancer surgery is difficult,to the timing of surgical and perioperative be handled carefully.
出处
《中国医药指南》
2010年第6期5-6,共2页
Guide of China Medicine
关键词
胃癌
肝硬化
门脉高压
Gastric cancer
Liver cirrhosis
Portal hypertension
