摘要
目的 总结进展期胃癌D2根治术的经验，评价胃周血管脉络化淋巴结清扫的可行性及安全陛。方法 对24例进展期胃癌D2根治术及术后结果进行回顾性研究，总结胃癌D2根治术的手术经验。统计淋巴结清扫数目、手术失血量、术后并发症，评价手术可行性及安全性。结果 24例进展期胃癌患者D2根治术均取得成功，并获得肋切除。所有病例共清扫淋巴结634个，平均26．42个，淋巴结癌转移共206个，转移率为32．49％（206／634）。手术失血量平均为264．58mL。术后并发症发病率为25％（6／24），分别为：吻合口出血1例、食管空肠吻合之输入袢空肠端瘘1例、高淀粉酶血症2例、反流性食管炎2例。结论 在熟悉胃周局部解剖，掌握淋巴结清扫技术，遵循解剖层次分离的基础上，进展期胃癌D2根治术是安全可行的。
Objective To summarize the experience of gastric D2 operation and evaluate the feasibility and safety of peripheral vascular choroid of lymph node dissection. Methods A retrospective study was adopted to analyze the redical D2 operation procedure and operation results 24 advanced gastric cancer cases,summarizing the experience of D2 radical gastrectomy operation for gastric cancer. The number of resected lymph nodes, operation bleeding volume, postoperative complications were analyzed to evaluate the feasibility and safety of operation. Results All 24 cases undergoing D2 radical gastrectomy operation of advanced gastric cancer were successful, and got the R0 resection. A total of 634 lymph nodes were excised in all the cases, averaged 26.42. A totle of 206 metastatic lymph nodes were found, metastasis rate being 32.49%. Operation bleeding volume was averaged 264.58 mL. The postoperative complication rate was 25% ,anastomotic bleeding in 1 case, input loop jejunum fistula of esophageal jejunum anastomosis in 1 case, hyperamylasemia and 2 cases reflux esophagitis in 2 cases respectively. Conclusions D2 radical gastrectomy operation of gastric cancer is safe and feasible on the basis of mastering perigastric anatomy and master of lymph node excision technology and anatomical hierarchy separation.
出处
《国际外科学杂志》
2012年第3期174-177,共4页
International Journal of Surgery
关键词
胃肿瘤
淋巴结切除术
外科治疗
Stomach neoplasms
Lymph node excision
Surgical treatment
