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胃癌根治术中联合胰腺、脾脏切除的问题 被引量:7

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摘要 外科根治性手术是目前唯一能治愈胃癌的手段,为达到根治目的,常需联合脏器切除,胰腺和脾脏是最多被联合切除的器官。临床上胃癌本身很少直接侵犯脾脏和胰腺.但胃上部癌脾门淋巴结转移时会发生。以前为避免淋巴结转移癌的残留.胃体、胃底及贲门等部位的胃癌在行根治术时常规联合脾脏和(或)胰尾切除,以便清扫脾门和脾动脉旁淋巴结并与肿瘤作整块切除。近年这种联合胰腺、脾脏切除的胃癌根治术受到愈来愈多的质疑和否定。本文就此问题进行研究总结.并结合本单位的经验,提出我们的观点。
作者 何裕隆
出处 《外科理论与实践》 2008年第1期9-11,共3页 Journal of Surgery Concepts & Practice
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