CAJ | 학술논문

目的探讨一种新的脾门淋巴结清扫方式,分析如何在安全的前提下彻底清除脾门淋巴结.方法对80例采用逆行腹膜后入路托出式脾门淋巴结清扫的患者(新术式组)进行同顾性分析,将其基本资料和病理结果与同期常规手术组113例患者资料相比较.结果新术式组脾门淋巴结清扫总数519枚.阳性淋巴结数65枚,第10组淋巴结阳性率为12.5%.1例患者因术后脾门小血管渗血.行二次手术切除脾脏;常规手术组清除总淋巴结数565枚,阳性淋巴结数58枚.第10组淋巴结阳性率为10.3%.两组清扫淋巴结附性率差异有统计学意义,全组无死亡病例.结论逆行腹膜后入路托出式脾门淋巴结清扫町以安全、彻底地清除脾门淋巴结.
목적 탐토일충신적비문림파결청소방식,분석여하재안전적전제하철저청제비문림파결.방법 대80례채용역행복막후입로탁출식비문림파결청소적환자(신술식조)진행동고성분석,장기기본자료화병리결과여동기상규수술조113례환자자료상비교.결과 신술식조비문림파결청소총수519매.양성림파결수65매,제10조림파결양성솔위12.5%.1례환자인술후비문소혈관삼혈.행이차수술절제비장;상규수술조청제총림파결수565매,양성림파결수58매.제10조림파결양성솔위10.3%.량조청소림파결부성솔차이유통계학의의,전조무사망병례.결론 역행복막후입로탁출식비문림파결청소정이안전、철저지청제비문림파결.
Objective To report a new approach of splenic hilar lymph nodes dissection in radical gastrectomy for gastric cancer. Methods 193 cases of gastric cancer patient receiving radical resection of gastric cancer between May 2008 and October 2008 were studied. The tail and body of spleen and pancreas were thoroughly freed with retroperitoneal way retrogressively and extruded out of abdominal cavity in 80 cases. The other 113 cases received operation with routine way. Results In 80 cases who received operation with retroperitoneal approach retrogressively, the total splenic hilar lymph nodes were 519, the positive ones were 65, the positive rate was 12.5 %; In the other 113 cases the total splenic hilar lymph nodes were 565, the positive ones were 58, the positive rate was 10.3 %. The positive rate had statistic significance between these two groups. Conclusion Extruded splenic hilar lymph nodes dissection with retroperitoneal approach retrogressively is safe and has the same effect with splenectomy in gastric cancer operation.