摘要目的 探时胃癌合并肝硬化患者行根治术的安全性和腹水的处理.方法 回顾性分析26例胃癌合并肝硬化患者围手术期情况.结果 本组患者围手术期无死亡,术前肝脏功能评级Child-Pugh均为A级,其中行D2淋巴结清扫25例(96.2%),切除淋巴结数目平均(33±11)个,12例术后放置了腹腔引流(46.2%),平均引流量为463 ml/d,平均拔出引流天数为11d,8例患者应用了利尿剂(30.8%).结论 胃癌根治术时行较广泛的淋巴结清扫术,对胃癌合并肝硬化患者是安全的,对手术前及术后腹水应用利尿剂治疗是有效的.

abstractsObjective To evaluate the safety of radical lymph node dissection on gastric cancer patients with liver cirrhosis and management of ascites.Methods A radical lymph node dissection on 26 gastric cancer patients with liver cirrhosis(LC) were reviewed retrospectively.Results Child-Pugh status was grade A in all 26 patients,and a D2 lymph nodes dissection was performed in 25 (96.2% )patients.The mean number of dissected lymph nodes was 33 ± 11.An abdominal drain was placed in 12 (46.2% )patients,and the average amount of fluid drainage was 463 ml/d.The drainage tube was removed on about days,and diuretics were used in 8(30.8% )patients.Conclusion An extended lynph node dissection is safe in gastric cancer patients with mild LC.Liver cirrhosis and postoperative ascites can be managed conservatively without any complications.