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直肠癌Miles’术中下腔静脉撕裂伤的防治(附11例报告)

Iatrogenic Laceration of Inferior Vena Cava During Miles Operation

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【作者】 叶强王屯昌茂苓卡利姆杨魁春

【Author】 Ye Qiang Wang Tun Chang MaoLing et alBengbu Third Peopless Hospital, Anhui

【机构】 蚌埠市第三人民医院普外科

【摘要】 1983~1995年间,对230例直肠癌Miles术患者进行分析,其中因下腔静脉撕裂而行修补术11例(4.8%),修补后均恢复正常。其撕裂是因来源于乙状结肠系膜疏松组织内有1至3支小静脉注入下腔静脉,术中过份分离或牵拉,使这些小静脉在注入下腔静脉入口处撕裂。因此,手术中应仔细解剖,避免过份牵拉,撕裂发生应立即给予修补。

【Abstract】 From 1983 to 1995 a total of 230 patients with rectal cancer were resected by Miles operation.Laceration of inferior vena cava occurred in 11 cases. All the trauma healed uneventfully after repair.It was found that the laceration of one to three venous tribularies at their junctions with the inferior vena cava at the root of the mesosigmoid usually occurred during dissection of the involved structures. Therefore,dissection must be performed meticulously and over stretching should be avoided. 

  • 【文献出处】 中国肿瘤临床 ,CHINESE JOURNAL OF CLINICAL ONCOLOGY , 编辑部邮箱 ,1998年03期
  • 【分类号】R730.56
  • 【下载频次】9
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