CAJ | 학술논문

目的：探讨胃癌第8 p淋巴结转移的相关因素。方法回顾性分析该科2011年1月-2012年12月间行胃癌根治术且有第8 p淋巴结清扫的93例胃癌患者的临床病理资料。结果93例胃癌患者中第8 p淋巴结转移率明显低于第8总体（ P＜0．001）及第8a（P＝0．001），其淋巴结转移度与第8及第8a之间差异无统计学意义（P＞0．05）。第8p阳性淋巴结与肿瘤部位（P ＝0．004）、大小（P ＝0．013）、Bormann分型（P ＝0．013）、T 分期（P＝0．000）、N分期（P＝0．000）和TNM 分期（P＝0．000）均相关。多因素分析结果显示仅肿瘤的T分期（P＝0．000）和N分期（P＝0．005）与第8p淋巴结转移显著相关。结论第8p组淋巴结转移与肿瘤的T分期和N分期呈正相关。
목적：탐토위암제8 p림파결전이적상관인소。방법회고성분석해과2011년1월-2012년12월간행위암근치술차유제8 p림파결청소적93례위암환자적림상병리자료。결과93례위암환자중제8 p림파결전이솔명현저우제8총체（ P＜0．001）급제8a（P＝0．001），기림파결전이도여제8급제8a지간차이무통계학의의（P＞0．05）。제8p양성림파결여종류부위（P ＝0．004）、대소（P ＝0．013）、Bormann분형（P ＝0．013）、T 분기（P＝0．000）、N분기（P＝0．000）화TNM 분기（P＝0．000）균상관。다인소분석결과현시부종류적T분기（P＝0．000）화N분기（P＝0．005）여제8p림파결전이현저상관。결론제8p조림파결전이여종류적T분기화N분기정정상관。
Objective To explore the factors affecting lymphadenectomy behind common hepatic artery in gastric cancer by detection of metastatic rate and metastasis of lymphnodes of No .8p subgroup.Methods The clinical data including complete information on No .8p subgroup lymphnodes in 93 patients undergoing radical operation for gastric cancer between January 2011 to December 2012 were retro-spectively reviewed ,and the relationship between the metastasis of No .8p lymphnodes and clinicpathologic features were analyzed by lo-gistic regression analysis.Results The metastatic rate of No.8p subgroup lymphnodes was 13.98%( 13/93).The metastatic rate of lymphnodes in No.8p was significantly lower than that in No .8(36.56%,P<0.001)and No8a(33.33%,P=0.001).The metastasis of the resected lymphnodes in No.8p was 28.95%(88/304).The difference between No.8 (27.46%)and No.8a(28.95%) was not significant ( P>0.05).The metastasis of lymphnodes in No .8p subgroup was correlated to location (P=0.004),size(P=0.013), Bormann type(P=0.013),T stage (P=0.000) ,N stage (P=0.000) and TNM stage(P=0.000).The logistic regression analysis showed that the metastasis of No.8p lymphnodes was correlated only to depth of tumor invasion (P=0.000) and lymph node metastases (P=0.005).There were no lymphadenectomy related complications ,such as anastomotic leakage,lymphaticfistula and postoperative hemorrhage in this series.Conclusions The metastasis of No.8p lymphnodes is positively correlated only to depth of tumor invasion and lymph node metastases .