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为探讨胃癌手术后梗阻性黄疸的原因及治疗方法,笔者回顾性分析8例胃癌术后梗阻性黄疸患者的临床资料。患者均接受手术治疗。术中发现5例肝门、肝十二指肠韧带淋巴结转移,1例胰头部肿物,2例肝内转移瘤压迫肝内胆管。8例均经再次手术治疗,术后死亡3例,另5例的生存期为5～14个月。资料显示胃癌术后肝门、肝十二指肠韧带淋巴结转移是胃癌术后复发导致梗阻性黄疸的主要原因。再次手术治疗应该根据不同情况采用不同的手术方式,有望能改善患者的生活质量和延长生存时间。
To investigate the causes and treatment of obstructive jaundice after gastric cancer surgery, the author retrospectively analyzed the clinical data of 8 patients with obstructive jaundice after gastric cancer surgery. All patients underwent surgery. Intraoperative findings of five cases of hilar, hepatoduodenal ligament lymph node metastasis, 1 case of pancreatic head tumor, 2 cases of intrahepatic metastases intrahepatic bile duct compression. All the 8 cases were treated by reoperation, 3 cases died after operation, and the other 5 cases survived 5 ~ 14 months. Data show that postoperative liver cancer, hepatoduodenal ligament lymph node metastasis is the main reason for postoperative recurrence of gastric cancer caused by obstructive jaundice. Surgical treatment should be based on different situations using different surgical methods, is expected to improve the quality of life of patients and prolong survival time.