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目的探讨胃癌的术前准备、术后治疗和并发症预防。方法准确选择胃癌患者的手术适应证及严格的术前评估,充分的术前准备与手术方法,贲门癌行食管胃弓下吻合术,胃癌行胃空肠Roux-en-Y吻合手术治疗。结果本组患者得到及时的手术治疗,减少了围手术期的危险,术后发生并发症13例(20.31%),死亡3例(4.67%)。结论胃癌患者常合并其他脏器疾病,术前有针对性的处理,术中术后密切监护、及时治疗,对减少术后并发症,提高手术成功率具有重要意义。
Objective To investigate the preoperative preparation, postoperative treatment and prevention of complications in gastric cancer. Methods The surgical indications and strict preoperative evaluation of patients with gastric cancer were accurately selected. The adequate preoperative preparation and operation method, gastroesophageal and gastric anastomosis of gastric cardia carcinoma and Roux-en-Y anastomosis of gastric cancer were performed. Results The patients underwent timely surgical treatment, reducing the perioperative risk. Postoperative complications occurred in 13 cases (20.31%) and 3 deaths (4.67%). Conclusion Patients with gastric cancer often complicated by other organ diseases. Preoperative targeted treatment, close postoperative care and timely treatment are of great significance to reduce the postoperative complications and improve the success rate of the operation.