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目的探讨进展期胃癌行新辅助化疗后行手术治疗,应用腹腔三管引流法在预防术后相关并发症中的应用。方法回顾分析自2010年12月—2011年12月间河南省肿瘤医院普外科收治45例进展期胃癌患者行新辅助化疗后行全胃切除术治疗的临床资料。结果术后出现胰周积液3例,脾窝积液2例,因引流管堵塞无效引流出现腹腔感染1例,无1例出现吻合口瘘,所有病例均经保守治疗痊愈出院。结论进展期胃癌新辅助化疗后行全胃切除术应用三管引流法能够有效的预防术后相关并发症。
Objective To investigate the surgical treatment of advanced gastric cancer after neoadjuvant chemotherapy and the application of three-tube abdominal drainage in the prevention of postoperative complications. Methods The clinical data of 45 cases of advanced gastric cancer treated with neoadjuvant chemotherapy in Department of General Surgery, Henan Tumor Hospital from December 2010 to December 2011 were analyzed retrospectively. Results There were 3 cases of peripancreatic effusion and 2 cases of splenic fossa effusion after operation. One case of intra-abdominal infection was found due to ineffective drainage of the drainage tube. None of the cases had anastomotic fistula. All cases were cured by conservative treatment. Conclusions The application of three-tube drainage method after neoadjuvant chemotherapy for advanced gastric cancer can effectively prevent postoperative complications.