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目的 探讨胃癌根治术附加胆囊切除术的必要性。 方法 选取 1999年 ~2001年我院保留迷走神经肝胆支的胃癌根治术 80例,测量术前、术后空腹胆囊容积、胆囊收缩功能及胆囊结石情况并进行对照分析。 结果 术后空腹胆囊收缩功能较术前明显降低(P<0. 01),术后 2年检查发现有 8例(10. 12% )胆囊结石发生。 结论 胃癌根治术附加保留迷走神经肝胆支不能完全预防术后胆囊炎、胆囊结石的发生;胃癌根治术附加胆囊切除术有其必要性。
Objective To investigate the necessity of additional cholecystectomy for radical resection of gastric cancer. Methods 80 cases of gastric cancer with preserved vagus nerve and gallbladder in our hospital from 1999 to 2001 were selected. The preoperative and postoperative fasting gallbladder volume, gallbladder contractility and gallstone were measured and compared. Results The postoperative fasting gallbladder contraction was significantly lower than that before operation (P <0.01). Two years after operation, 8 cases (10.12%) of gallstone occurred. Conclusions Radical gastrectomy for gastric cancer can not completely prevent the occurrence of postoperative cholecystitis and gallstones because of the additional preservation of vagus nerve and gallbladder. The necessity of additional cholecystectomy for radical operation of gastric cancer.