臨床外科70巻1号

2015年01月発行

臨床の疑問に答える「ドクターAのミニレクチャー」・32

術後合併症の影響—吻合不全で再発が増えるか

著者： 安達洋祐¹

所属機関： ¹久留米大学医学部外科

ページ範囲：P.104 - P.107

素朴な疑問
　がんの手術は臓器切除やリンパ節郭清が必要であり，合併症や後遺症を覚悟しないといけない．消化管の手術で縫合不全を起こすと絶飲食になり，腹膜炎や腹腔内膿瘍を併発すると再手術が必要になる．術後合併症を起こすと患者は体力や免疫力が落ちるが，がんの手術で術後合併症は予後に影響するのだろうか．吻合不全を起こすと再発が増えるのだろうか．

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