摘要
局部复发是进展期胃癌行D2治愈性切除后预后不良的主要原因。我们发现，在胃癌胃系膜中存在着一类新的转移．其与原发灶、淋巴结或血管不相连接．而胃系膜被同有筋膜完整地包绕着。表面部分被脏层腹膜所覆盖，这类转移（第五转移）有可能是胃癌术后局部复发的重要原凶。因此，我们建议在行D2手术时，除了进行彻底的原发灶切除和系统的淋巴结清扫外，还应该增加第三根治原则，即完整的胃系膜切除，以免第五转移散落在手术野．遭致局部复发。
The local-regional recurrence is the most important failure reason of D2 radical operation for curative advanced gastric cancer. Another way of metastasis, which exists in the mesogastrium and separates apart from the primal tumor, blood vessels and lymph nodes, appears to be responsible fur the Ioeal-regional recurrence partly. We call it as the fifth route of metastasis. The mesogastrium is surrounded by proper fascia completely and covered partly by serosa. We suggest that D2 radical operation should not only include the resection of primary tumor and lymphadenectomy, but also add the complete mesogastrie exeision（CME） as the third principle in gastric cancer radical operations to cut down the fifth metastasis route of gastric cancer, to prevent the fifth metastasis scattered on the field of operation which may induce the local：regional recurrence.
出处
《中华胃肠外科杂志》
CAS
CSCD
2013年第2期109-110,共2页
Chinese Journal of Gastrointestinal Surgery
关键词
胃肿瘤
根治手术
肿瘤转移
肿瘤复发
Stomach neoplasms
Radical operation
Neoplasm recurrence
Neoplasm metastasis
