Prevention and treatment of complications related to the digestive tract reconstruction in laparoscopic gastric cancer surgery.
- Author:
Junsheng PENG
1
;
Shi CHEN
Author Information
1. Department of Esophageal and Gastrointestinal Surgery, The Sixth Hospital Affiliated to Sun Yat-Sen University, Sun Yat-Sen University Research Center of Diagnosis and Treatment of Gastric Cancer, Guangzhou 510655, China. pengsir1010@126.com.
- Publication Type:Journal Article
- MeSH:
Anastomotic Leak;
prevention & control;
therapy;
Constriction, Pathologic;
prevention & control;
therapy;
Education, Medical, Continuing;
Gastrectomy;
adverse effects;
methods;
Gastrointestinal Hemorrhage;
prevention & control;
therapy;
Humans;
Laparoscopy;
adverse effects;
Perioperative Care;
Postoperative Complications;
prevention & control;
therapy;
Postoperative Hemorrhage;
prevention & control;
therapy;
Reconstructive Surgical Procedures;
adverse effects;
Stomach Neoplasms;
surgery
- From:
Chinese Journal of Gastrointestinal Surgery
2017;20(2):156-159
- CountryChina
- Language:Chinese
-
Abstract:
With the development of laparoscopic techniques and equipments, laparoscopic-assisted, even total laparoscopic radical surgery for gastric cancer can be performed successfully. However, the incidence of postoperative complications is higher in the laparoscopy group as compared to the open-surgery group, which is still the barrier for the total laparoscopic radical gastrectomy. Similar to open surgery, the major complications of digestive tract reconstruction after laparoscopic radical gastrectomy are anastomotic leakage, anastomotic bleeding, anastomotic stricture and stenosis of input or output loop. Moreover, due to the lack of tactile feedback and a narrow field of vision, the laparoscopic operation may be associated with complications due to technical reasons. In clinic, we tried to reduce the incidence of these complications by improving surgical skills and strengthening the perioperative treatment of patients. According to our experience, the complications mainly occur in the early stage, and with the cumulative experience, the complications can be effectively reduced.
