摘要
中上部胃癌易发生脾门淋巴结转移,脾门淋巴结清扫是胃癌D2淋巴结清扫术重要部分。脾门结构及血管分布复杂,一定程度限制了保脾淋巴结清扫的应用。随着外科设备及技术的发展,保脾脾门淋巴结清扫术逐渐受到认可及应用。选择合适的手术入路及防控术中出血,腹腔镜胃癌根治术保脾脾门淋巴结清扫术具有良好的近远期疗效,有望成为胃癌根治术的标准之一。
Splenic hilar lymph nodes metastasis are prone to occurred in patients with middle-upper gastric cancer,therefore splenic hilar lymphadenectomy is recognized as an important part of the D2 lymph nodes dissection of gastric cancer.However,due to complicated distribution of splenic vessels,clinical application of spleen-preserving splenic hilar lymphadenectomy are limited.With the development of surgical equipment and technology,spleen-preserving splenic hilar lymphadenectomy is gradually recognized and applied.Laparoscopic pleen-preserving splenic hilar lymphadenectomy could achieve satisfactory clinical outcome in treating patients with gastric cancer,by appropriate surgical approaches and intraoperatie bleeding control,which might become one of the standard surgical methods of gastrectomy.
作者
杜晓辉
胡时栋
Du Xiaohui;Hu Shidong(Department of general surgery,PLA gerneral hospital,Beijing 100853,China)
出处
《中华普外科手术学杂志（电子版）》
2018年第2期95-98,共4页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
国家自然科学基金面上项目(61471397)
国家自然科学基金面上项目(61170123)
国家自然科学基金青年项目(60601018)
海南省自然科学基金(813226)
军队"十一五"科技攻关课题(06G107)
北京市科技新星计划课题(2006A51)
军队"十五"重点课题(04Z019)~~
关键词
胃肿瘤
腹腔镜检查
淋巴结切除术
Stomach Neoplasms
Laparoscopy
Lymph Node Excision
