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Local Minimally Invasive Therapy for Malignant Tumor of Digestive System

Portal Hypertensive Gastric Disease

门脉高压性胃病是肝硬变门脉高压症患者的主要并发症之一，病变几乎累及全部消化道，现就门脉高压性胃病的临床表现、病理特点、发病机理、诊断与治疗讨论如下……

成人先天性膈膨升并胃扭转1例报道

超声引导在 125I 放射性粒子植入治疗近膈处肝癌中的安全性分析

目的 总结超声引导下经皮 125I 放射性粒子组织间植入治疗近膈处肝癌的临床安全性及优势。 方法 回顾性分析 2014 年 3 月至 2016 年 2 月期间于笔者所在医院接受超声引导下经皮 125I 放射性粒子植入治疗的 10 例近膈处肝癌患者的临床资料。 结果 10 例患者均按计划行粒子植入，植入 125I 粒子 19～108 枚，平均植入 58.1 枚。植入过程顺利，手术时间 30～90 min，平均 57 min。术后质量验证示粒子分布满意，无补种情况发生。2 例患者术后出现发热，经抗炎及对症治疗后痊愈。1 例患者出现穿刺部位疼痛，给予止痛治疗后好转。10 例患者术后复查均未发现腹腔出血及积液，无血、气胸等肺部并发症发生，无胆汁漏、肝功能衰竭等严重并发症发生。10 例患者均顺利出院。术后 10 例患者均获访，随访时间为 6～43 个月，中位数为 18.5 个月。随访期间，2 例出现粒子移位，未出现严重后果，未予处理；未发现其他远期并发症发生。 结论 超声引导下经皮 125I 放射性粒子植入治疗近膈处肝癌的并发症少，安全可靠，具有其优势。

放射性碘-125 粒子植入治疗腹腔肿瘤的徒手穿刺技巧

凝血机制异常致阑尾术后出血2例报道

Indication of Splenectomy in Radical Resection for Advanced Proximal Gastric Cancer

Objective To investigate the reasonable indication of splenectomy in radical resection for advanced proximal gastric cancer (APGC). Methods Fifty patients with APGC were studied and classified into total gastrectomy with splenectomy (TGS) group (n=18) and total gastrectomy without splenectomy (TG) group (n=32). The operation time, hospitalized duration, complications, and lymphe node metastasis at the spleen hilus were compared between two groups. Results The operation time, hospitalized duration and subphrenic infection rate in the TGS group were significantly higher than those in the TG group (Plt;0.05). The rate of lymph node metasitasis of No.10 and No.11 in the TG group was not different from that in TGS group (Pgt;0.05). Conclusion Direct spleen and its vessel invasion are the reasonable indication of splenectomy in radical resection for APGC.