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近年来胃癌根治术广泛开展,并趋于规范化,由于淋巴结广泛清除之后,医源性乳糜腹水发生率有所增加,我院最近遇到1例经再次手术效果满意,现报告如下:患者,男,61岁,右上腹无规律性疼痛2月伴消瘦、乏力。原有胃病史10年。查体:消瘦,贫血貌明显,左锁骨上淋巴结不肿大,心肺无异常,腹平软,右上腹轻压痛,无肌卫,未及肿块,肝脾未及。血常规:Hb7g,RBC 320万/mm~3、WBC 10200/mm~3、N 79％,胃镜及病理确诊;胃窦都低分化腺癌。给予支持疗法,术
In recent years, radical gastrectomy for gastric cancer has been widely carried out and tends to be standardized. Since the incidence of iatrogenic chylospasm has increased after extensive removal of lymph nodes, we have recently encountered 1 case with satisfactory results after reoperation. The present report is as follows: Patient, male , 61 years old, with no regular pain in the right upper quadrant in February with weight loss, fatigue. The original stomach history was 10 years. Physical examination: weight loss, anemia appearance is obvious, the left supraclavicular lymph nodes are not swollen, no abnormal heart and lungs, abdominal soft, light right upper abdominal tenderness, no muscle health, no lump, no liver and spleen. Blood routine: Hb7g, RBC 3.2 million/mm~3, WBC 10200/mm~3, N 79%, gastroscope and pathology confirmed; gastric antrum were poorly differentiated adenocarcinoma. Give supportive therapy, surgery