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保脾脾门淋巴清扫在进展期近端胃癌根治术中的应用

孙轶 梁天伟 韦永成 李景华

局解手术学杂志Issue(1):66-67,68,3.
局解手术学杂志Issue(1):66-67,68,3.DOI:10.11659/jjssx.1672-5042.201401026

保脾脾门淋巴清扫在进展期近端胃癌根治术中的应用

Application of spleen-preserving splenic hilar lymph nodes dissection in radical resection for advanced proximal gastric cancer

孙轶 1梁天伟 1韦永成 1李景华1

作者信息

  • 1. 武鸣县人民医院外一科,广西 南宁535010
  • 折叠

摘要

Abstract

Objective To investigate the feasibility of spleen-preserving splenic hilar lymph nodes dissection on the radical resection for advanced proximal gastric cancer. Methods Six patients with advanced proximal gastric cancer were performed D2 lymphadenectomy from May 2012 to May 2013 in our hospital. The operation time,bleeding quantity,the number of lymph nodes,postoperative complications were re-corded. Results The surgery was successful. The intraoperative blood loss was 50 ~250 mL,with the average of 120 mL. The number of lymph nodes was 3~9 after the operation with the average of 5. One patient supervened with lymphorrhagia and recovered after treatment. During the follow-up period from one month to one year, no local recurrence and distant metastasis occurred, nor the death. Conclusion Conducting theD2 lymphadenectomy for the patients with the advanced proximal gastric cancer can preserve the spleen while safely and throughly dissect the splenic hilar lymph nodes.

关键词

胃癌/淋巴结清扫术/脾门淋巴结

Key words

gastric cancer/lymphadenectomy/splenic hilar lymph nodes

分类

医药卫生

引用本文复制引用

孙轶,梁天伟,韦永成,李景华..保脾脾门淋巴清扫在进展期近端胃癌根治术中的应用[J].局解手术学杂志,2014,(1):66-67,68,3.

局解手术学杂志

OACSTPCD

1672-5042

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