CAJ | 학술논문

目的探讨进展期远端胃癌根治术中No.12组淋巴结清扫的技巧和意义.方法回顾性分析2010年1月至2011年1月间102例进展期远端胃癌患者行胃癌根治术中清扫No.12组淋巴结的临床资料.结果本组102例进展期远端胃癌患者No.12组淋巴结清扫个数为443枚,人均4.3枚；102例进展期远端胃癌患者No.12组淋巴结发生转移22例,转移率为21.6％.发生胰瘘4例、淋巴管瘘6例,无吻合口漏、胆漏、术后黄疸、出血等术后近期并发症发生.结论对进展期远端胃癌患者No.12组淋巴结进行规范区域淋巴清扫是安全可行的.
목적 탐토진전기원단위암근치술중No.12조림파결청소적기교화의의.방법 회고성분석2010년1월지2011년1월간102례진전기원단위암환자행위암근치술중청소No.12조림파결적림상자료.결과 본조102례진전기원단위암환자No.12조림파결청소개수위443매,인균4.3매；102례진전기원단위암환자No.12조림파결발생전이22례,전이솔위21.6％.발생이루4례、림파관루6례,무문합구루、담루、술후황달、출혈등술후근기병발증발생.결론 대진전기원단위암환자No.12조림파결진행규범구역림파청소시안전가행적.
Objective To evaluate the technique and implications of No.12 lymph node dissection for advanced gastric cancer with D2 lymphadenectomy. Methods In this study 102 advanced gastric cancer patients undergoing D2 lymphadenectomy from January 2010 to January 2011were retrospectively analysed. Results The average number of No.12 lymph node dissected was 4.3.The metastatic rate of No.12 lymph node was 21.6％.Postoperative pancreatic fistula developed in 4 cases,and lymphatic fistula in 6.There was no anastomotic leakage,lymphatic duct leakage,biliary leakage,post-operative jaundice and bleeding. Conclusions No.12 lymph node dissection for advanced gastric cancer is safe and necessary.