文档介绍：胃癌术后胆囊结石形成的相关因素及预防
摘要目的:探讨胃癌术后胆囊结石发病率明显增加的原因及处理原则。方法:彩超定期随访622例胃癌术后患者,跟踪术后胆囊结石出现的时间,分析不同的手术方式、消化道重建方式及淋巴结清扫范围与胆囊结石形成的关系,并进一步随访术后胆囊结石的变化情况及处理方式。结果:%(112/622例)的随访患者并发胆囊结石,%(78/112例)在术后2年内发现;胃癌术后胆囊结石形成与手术方式、消化道重建方式无关,与淋巴结清扫范围密切相关(d1+组与d2+组比较,p=;d2组与d2+组比较,p=),大部分患者(%,92/112例)并不出现胆石症状。结论:淋巴结清扫范围是胃癌患者术后并发胆囊结石的危险因素,因此对于需行广泛淋巴结清扫的患者,可考虑预防性行胆囊切除。
关键词胃癌切除术胆囊结石淋巴结清扫
doi:.1007—
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