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腹腔乳糜漏是胃肠道肿瘤术后少见的并发症。文献报道腹部肿瘤根治术后乳糜漏的发生率约为7.4%[1]。胃癌D1、D2根治术后淋巴漏的发生率为1.99%[2],而胃癌D2以上术式发生率可达5.7%~11.8%[2-3]。结肠直肠癌术后乳糜漏的发生率为1.0%~3.6%[4]。乳糜漏的危害在于高流量时可丢失大量的脂肪、蛋白质、水电解质和维生素(特别是脂溶性维生素),迅速出现消瘦和严重的营养不良甚至恶病质而致死。
Abdominal chyle leakage is a rare complication of gastrointestinal cancer surgery. Reported in the literature after radical tumor resection of the incidence of chylous leakage is about 7.4% [1]. The incidence of lymphatic drainage after radical resection of D2 and D2 in gastric cancer is 1.99% [2], while the incidence of gastric cancer D2 and above is 5.7% ~ 11.8% [2-3]. Colostomy postoperative chylothorax incidence of 1.0% to 3.6% [4]. The danger of chylothorax is the loss of large amounts of fat, protein, water and electrolytes and vitamins (especially fat-soluble vitamins) at high flow rates, the rapid onset of weight loss and severe malnutrition and even cachexia.