中国中西医结合外科杂志Issue(4)：371-373,3.DOI:10.3969/j.issn.1007-6948.2013.04.006
腹腔镜在早期胃癌前哨淋巴结检测中的应用
Laparoscopic Application in Early Gastric Cancer Sentinel Lymph Node Detection
陶锋 1吕杰青 1叶民峰 1许国权 1徐关根 1王海峰 1孙爱静2
作者信息
- 1. 浙江省绍兴市人民医院胃肠外科 绍兴 312000
- 2. 浙江省绍兴市人民医院病理科 绍兴 312000
- 折叠
摘要
Abstract
Objective To identify the value of sentinel lymph node(SLN) detection in laparoscopic gastrec-tomy. Methods In patients without metastasis during laparoscopic exploration, 2~4 mL of methylene blue dye was multi-pointly injected in the peritumoral submucosa, according to esophagogastroduodenoscopy examination and laparotomy. All the blue-stained nodes appeared within 10 minutes were taken as SLNs. All of them were resected by harmonic scalpel, and then were sent for pathological examination. Results SLN identified in all of the total 31 patients (100%). The sensitivity, accuracy, specificity and false-negative rate of SLN mapping to predict lymph node metastasis all were 100%. Conclusion Sentinel lymph node mapping with methylene blue dye staining during laparoscopic operation is feasible and reliable, which is valuable to guide the range of lymph node excision.关键词
前哨淋巴结/胃癌/亚甲蓝/腹腔镜Key words
Sentinel lymph node/gastric cancer/methylene blue/laparoscope分类
医药卫生引用本文复制引用
陶锋,吕杰青,叶民峰,许国权,徐关根,王海峰,孙爱静..腹腔镜在早期胃癌前哨淋巴结检测中的应用[J].中国中西医结合外科杂志,2013,(4):371-373,3.
