关键词: 胃癌根治术, 非计划再手术, 并发症

Abstract:

Non-planed reoperation within 30 days after radical gastrectomy：An analysis of 26 patients        LUO Yi-hong，HE Hong-yong，LI Hao-jie，et al. Department of General Surgery，Zhongshan Hospital，Fudan University，Shanghai 200032，China
Corresponding author：LIU Feng-lin，E-mail：liu.fenglin@zs-hospital.sh.cn
Abstract    Objective    To analyze the major reasons of non-planed reoperation with 30 days after radical gastrectomy and explore the effective preventive measures. Methods    The clinical data of 26 patients harboring gastric adenocarcinoma following non-planed reoperation within 30 days after radical gastrectomy between January 2012 and June 2015 in Department of General Surgery, Zhongshan Hospital，Fudan University were analyzed retrospectively. Results    The reasons of non-planed reoperation included intra-abdominal bleeding (n=11，42.3%)，anastomotic leakage (n=6，23.1%)，anastomotic obstruction (n=1，3.8%)，duodenal stump leakage (n=3，11.5%) and dehiscence of abdominal incision (n=5，19.2%). Among the 26 patients underwent non-planed reoperation，25 patients（96.2%）were successfully discharged after reoperation. However，one patient （7.7%） with anastomotic leakage died because of multiple organ dysfunction. Conclusion    The major reasons of non-planed reoperation after radical gastrectomy mainly include intra-abdominal bleeding，anastomotic leakage，anastomotic obstruction，duodenal stump leakage，and dehiscence of abdominal incision. Standardized operation and effective perioperative support are the key to reduce the incidence of non-planed reoperation after radical gastrectomy.

Key words: radical gastrectomy, non-planed reoperation, complication