摘要
目的探讨腹腔镜胃癌术后发生吻合口瘘与患者围术期各项因素的关系。方法回顾性分析2011年3月至2015年10月该院胃肠外科收治的686例确诊为胃癌并行腹腔镜辅助下胃癌根治术的患者的临床资料,以及其发生吻合口瘘的例数;评价患者围术期因素与术后发生吻合口瘘的关系。结果患者术前清蛋白水平、糖尿病病史、TNM分期是腹腔镜胃癌术后发生瘘的相关影响因素。结论围术期积极给予患者营养支持,控制糖尿病患者血糖水平,术前评估肿瘤分期可以降低患者吻合口瘘的发生。
Objective To investigate the relationship between postoperative anastomotic fistula and perioperative factors in the patients with laparoscopic gastric cancer surgery.Methods The clinical data of 686 cases of gastric cancer treated by laparoscope-assisted radical gastrectomy and cases number of anastomotic fistula occurrence in the gastrointestinal surgery department of our hospital from March 2011 to October 2015 were retrospectively analyzed.The relation between the perioperative factors and postoperative anastomotic fistula occurrence was evaluated.Results The level of preoperative serum albumin,complicating diabetes history and TNM staging were the related influence factors for developing postoperative anastomotic leakage.Conclusion Actively giving the nutrition support,controlling blood glucose level and preoperative evaluation of tumor staging can reduce the occurrence of anastomotic leakage.
出处
《重庆医学》
CAS
北大核心
2017年第2期175-177,共3页
Chongqing medicine
基金
国家自然科学基金资助项目(30972872)
关键词
腹腔镜
吻合术
外科
瘘
胃肿瘤
laparoscope
anastomosis
surgical
fistula
gastric neoplasm
