摘要
目的探讨自下向上入路开放式远端胃癌D2淋巴结清扫术的可行性。方法选取武鸣县人民医院自2012年3月至2013年5月收治的36例确诊为进展期远端胃癌患者，采取自下向上人路进行开放式D2淋巴结清扫术，记录手术时间、术中出血量、淋巴结清扫数目，观察术后并发症情况并进行随访。结果36例均成功完成手术。术中出血量50—220mL，平均120mL；淋巴结清扫数目12—37个，平均24个。术后1例出现淋巴漏并发症，1例出现腹腔出血并发症，经治疗后均痊愈出院；随访l～15个月，无局部复发病例，1例骨转移，无死亡病例。结论自下向上入路开放式远端胃癌D2淋巴结清扫术是一种安全可行的手术方式。
Objective To explorer the feasibility and clinical significance of D2 lymphadenectomy for distal gastric cancer with the surgical approach from bottom to top. Methods 36 advanced distal gastric cancer patients selected from Wuming People＇ s Hospital were performed D2 Lymphadenectomy from March 2012 to May 2013. The operation time, bleeding quantity, the number of lymph nodes, postoperative complications were recorded, and these patients were given follow-up observation. Results All patients had successful operation. The intraoperative blood loss was 50 to 220 ml, the average 120 ml; the number of lymph node disseetion was 12 to 37, the average 24. One patient had abdominal bleeding after the operation. One patient had lymphorrha- gia after the operation. No local recurrence occurred. One case occurred bone metastasis. Conclusions D2 lymphadenectomy with the surgical approach from bottom to top is a safe and feasible way for distal gastric cancer.
出处
《中国肿瘤外科杂志》
CAS
2013年第5期276-279,共4页
Chinese Journal of Surgical Oncology
基金
广西卫生厅科研课题(No.Z2012707)
关键词
进展期胃癌
胃癌根治术
淋巴结清扫术
手术入路
advanced gastric carcinoma
gastrectomy of stomach neoplasms
lymphadenectomy
surgical approach
