中国实用外科杂志 ›› 2012, Vol. 32 ›› Issue (08): 621-624.

• 专题笔谈 • 上一篇    下一篇

胃切除上消化道重建术后早期常见并发症防治

戴冬秋   

  1. 中国医科大学附属第四医院胃肠外科,辽宁沈阳 110032
  • 出版日期:2012-08-01 发布日期:2012-07-30

  • Online:2012-08-01 Published:2012-07-30

摘要:

上消化道重建是胃切除手术中关键操作步骤之一,但上消化道重建术后并发症规范化防治仍存在诸多问题,上消化道重建术后并发症大多数与吻合技术及围手术期处理有关。严重并发症将增加医疗费用,影响病人预后,甚至产生医患纠纷。因此,临床医师应当充分重视上消化道重建术后并发症的防治。

关键词: 胃切除, 消化道重建, 吻合口漏, 输出袢梗阻, 输入袢梗阻

Abstract:

Early complications and management of upper digestive tract reconstruction after  gastrectomy        DAI Dong-qiu. Department of Gastrointestinal Surgery, the Fourth Affiliated Hospital, China Medical University, Shenyang 110032, China
Abstract    Upper digestive tract reconstruction is one of the key steps in the gastrectomy surgery. But there are still many problems in standardization of prevention and management of complications after upper digestive tract reconstruction. Most postoperative complications should be related to stapling technique and perioperative management in upper digestive tract reconstruction after gastrectomy. Serious complications will increase health care costs, affecting the prognosis of patients, resulting in a medical dispute. Therefore, it is very important for surgeons to deal with complications after upper digestive tract reconstruction.

Key words: gastrectomy, digestive tract reconstruction, anastomotic leakage, afferent loop obstruction, inferent loop obstruction