关键词:胃癌;淋巴结清扫;治疗
【摘要】 目的 探讨根治性淋巴结清扫在早期胃癌治疗中的作用。方法 回顾性分析19例早期胃癌的淋巴结转移情况及不同术式对生存率的影响。结果 19例早期胃癌中,黏膜癌7例,黏膜下癌12例,淋巴结转移率为52.6%,第2站淋巴结转移率为21.1%,D0 、D1 、D2 、D4 手术方式分别有1、2、13、及3例,术后1年生存率100%。结论 即使是早期胃癌,治疗上应以D2 手术为主,对部分早期胃癌行D4 手术,以期提高根治性和生存率。
The therapeutic value of radical lymphadenectomy in
early gastric cancer: A report of 19 cases
LIU Tongcheng, ZHENG Zhangqing, HE Yulong,et al.Department of Gastrointestine Pancreatic Surgery, First Affiliated Hospital ,Sun Yat-sen University of Medical Sciences, Guangzhou 510080
【 Abstract】 Objective To estimate the therapeutic value of radical lymphadenectomy in early gastric cancer. Methods The lymph node metastatic rate and operation forms of 19 cases were analyzed retrospectively. Results 7 cases were mucosal cancer and 12 cases submucosal cancer. The lymph node metastatic rate was 52.6%, the second site lymph node metastatic rate was 21.1%. Different operation forms (D0 ,D1 ,D2 ,D4 ) were performed in 1,2,13,and 3 cases respectively. The 1 year survival rate was 100%. Conclusion D2 lymphadenectomy should be the main choice in the treatment of early gastric cancer and D4 would be beneficial to some patients, which can ensure a radical cure and increase the survival rate.
......
您现在查看是摘要页,全文长 11715 字符。