摘要
目的探讨胃癌及结肠癌患者行全胃切除及结肠次全切除的适应证及可行性。方法回顾性分析1例72岁患者病例资料,2005年8月因近端胃癌行全胃切除术,术后7年又因结肠多发性息肉癌变而行结肠次全切除术。结果第二次手术后6 d进流质饮食,每日解水样便10-12次,28 d后出院。随访14个月,目前普通饮食,大便次数5-6次/d,起居生活正常,体重恢复至60 kg。2013年7月发现切口疝,行切口疝修补术,术中探查腹腔、盆腔情况无异常,术后8 d出院。结论胃癌全胃切除后如发生结肠多发性息肉癌变时,再行结肠次全切除是可行的,单一小肠可以维持其生存。
Objective To explore the indication and feasibility of the secondary operation of subtotal colectomy after total gastrectomy. Methods The clinical data of a patient aged 72 was reviewed. The total gastrectomy was performed due to stomach cancer in August 2005, and the secondary operation of subtotal colectomy was carried out in July 2012 because of colon caner associated with malignant multiple polyposis. Results After the second surgery, the patient recovered to liquid diet 6 days after surgery, and was discharged from the haspital 28 days after surgery with 10 to 12 times of daily defecation. The patient was followed up for 14 months. The diet was recovered to normal, stool was about 5 to 6 times per day and the body weight was back to 60 kg. The incisional hernia was found one year after the secondary operation and was repair with mesh. Conclusion The secondary operation of subtotal colectomy is feasible and safe for the colon cancer patient received total gastrectomy due to gastric cancer, because one can maintain survival only by intestine nutritional support.
出处
《中国现代手术学杂志》
2014年第4期266-269,共4页
Chinese Journal of Modern Operative Surgery
基金
广东省河源市2013年科技立项课题(编号:2013-055)
关键词
胃肿瘤
胃切除术
结肠肿瘤
结肠息肉
多发性
结肠次全切术
小肠
stomach neoplasms
gastrectomy
colonic-neoplasms
colonic polyps, multiple
subtotal colectomy
intestine, small
