CAJ | 학술논문

目的：探讨保留脾脏的脾门淋巴清扫在近端胃癌根治术中应用的可行性。方法选取我院2012年5月至2013年5月收治的确诊为进展期近端胃癌的6例患者资料,采取保脾脾门淋巴清扫的D2淋巴结清扫术,记录手术时间、出血量、脾门淋巴结数目,观察术后并发症情况。结果6例手术均成功完成,术中出血量50~250 mL,平均120 mL；术后脾门淋巴结清扫数目3~9个,平均5个。术后有1例出现淋巴漏并发症,经治疗后均痊愈出院；随访1个月至1年,无局部复发及远处转移病例,无死亡病例。结论在进展期近端胃癌D2淋巴结清扫术中保留脾脏同时可以安全彻底地清除脾门淋巴结。
목적：탐토보류비장적비문림파청소재근단위암근치술중응용적가행성。방법선취아원2012년5월지2013년5월수치적학진위진전기근단위암적6례환자자료,채취보비비문림파청소적D2림파결청소술,기록수술시간、출혈량、비문림파결수목,관찰술후병발증정황。결과6례수술균성공완성,술중출혈량50~250 mL,평균120 mL；술후비문림파결청소수목3~9개,평균5개。술후유1례출현림파루병발증,경치료후균전유출원；수방1개월지1년,무국부복발급원처전이병례,무사망병례。결론재진전기근단위암D2림파결청소술중보류비장동시가이안전철저지청제비문림파결。
Objective To investigate the feasibility of spleen-preserving splenic hilar lymph nodes dissection on the radical resection for advanced proximal gastric cancer. Methods Six patients with advanced proximal gastric cancer were performed D2 lymphadenectomy from May 2012 to May 2013 in our hospital. The operation time,bleeding quantity,the number of lymph nodes,postoperative complications were re-corded. Results The surgery was successful. The intraoperative blood loss was 50 ~250 mL,with the average of 120 mL. The number of lymph nodes was 3~9 after the operation with the average of 5. One patient supervened with lymphorrhagia and recovered after treatment. During the follow-up period from one month to one year, no local recurrence and distant metastasis occurred, nor the death. Conclusion Conducting theD2 lymphadenectomy for the patients with the advanced proximal gastric cancer can preserve the spleen while safely and throughly dissect the splenic hilar lymph nodes.