论文部分内容阅读
目的:探讨胃癌根治术中脾脏损伤的发生原因及防治措施。方法:回顾性分析2007/2008年156例胃癌根治术中发生脾脏损伤9例的原因及处理。结果:胃癌根治术中脾损伤率5.77%(9/156),均在术中发生且与手术操作相关,经手术治愈,其中脾切除5例,脾修补1例,3例应用局部止血措施。结论:良好的麻醉和细致的手术操作可以有效预防胃癌术中脾损伤的发生,根据伤情选择合理术式是治疗脾脏损伤的关键。
Objective: To investigate the causes of spleen injury in radical operation of gastric cancer and the preventive measures. Methods: A retrospective analysis of 156 cases of gastric cancer in 2007/2008 radical splenectomy occurred in 9 cases of the cause and treatment. Results: The rate of spleen injury in gastric cancer radical operation was 5.77% (9/156). All of them were occurred intraoperatively and were related to the surgical operation. The splenectomy was performed in 5 cases, splenectomy in 1 case, and 3 cases in local hemostasis. Conclusion: Good anesthesia and meticulous operation can effectively prevent the occurrence of splenic injury in gastric cancer. Choosing the appropriate surgical procedure according to the injury is the key to the treatment of splenic injury.