摘要
胃癌是消化道常见的肿瘤之一,目前主要采用以手术为主的综合疗法。随着生活水平改善及医疗技术的发展,胃癌的生存率显著提高。临床中发现胃癌术后易并发胆囊结石,严重影响到患者的生活质量,甚至需要再次进行手术。造成术后胆囊结石的因素包括神经因素、胃切除范围、消化道激素、保留幽门、消化道重建及淋巴结清扫范围等。本文将分析胃癌术后胆囊结石的成因,并复习同期胆囊切除的相关文献,希望对临床工作有所帮助。
Gastric cancer is one of the most common tumors in the digestive system,and its comprehensive therapeutic treatments is still mainly by radical surgery.With the improvement of living standards and the development of medical technology,survival of patients with gastric cancer has been improved significantly.In our clinical practice,a frequent occurrence of gallstones could be observed after gastrectomy,which would seriously decrease patients’quality of life and might need cholecystectomy.Risk factors of gallstone formation after gastric cancer surgery include vagotomy,scope of gastrectomy,digestive hormone level,retention of pylorus,reconstruction method of digestive tract and the extent of lymph node dissection.This article analyzed these causes of gallstone after gastric cancer surgery,and reviewed literatures related to concurrent cholecystectomy,in order to improve clinical outcome.
作者
嵇晋
王道荣
汤东
张尤磊
Ji Jin;Wang Daorong;Tang Dong;Zhang Youlei(Clinical Medical College,Yangzhou University,Jiangsu 225001,China;Department of General Surgery,General Surgery Institute of Yangzhou city,Northern Jiangsu Province Hospital,Clinical Medical College,Yangzhou University,Jiangsu 225001,China;Graduate school,Dalian medical university,Liaoning 116044,China)
出处
《中华普外科手术学杂志（电子版）》
2020年第2期214-216,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
国家自然科学基金(81572343)
江苏省第五期“333工程”高层次人才培养专项(BRA2017153)。
关键词
胃肿瘤
胃切除术
胆囊结石病
胆囊切除术
Stomach neoplasms
Gastrectomy
Cholecystolithiasis
Cholecystectomy
