CAJ | 학술논문

目的：探讨腹腔镜辅助进展期近端胃癌NO.10淋巴结的清扫技巧及意义。方法选取需行腔镜下进展期胃癌D2根治术的64例患者，随机分为保脾组、切脾组两组各32例，保脾组行不切除脾脏的NO.10淋巴结清扫，切脾组行脾脏联合脾门淋巴结切除术，观察两组术中、术后情况及术后并发症的发生。结果切脾组手术时间明显长于保脾组（P＜0.05），其他指标两组差异无统计学意义（P＞0.05）。结论我科总结改进的腹腔镜辅助进展期近端胃癌NO.10淋巴结的清扫技巧在不影响疗效的前提下，对于保留脾脏提高预后意义重大。
목적：탐토복강경보조진전기근단위암NO.10림파결적청소기교급의의。방법선취수행강경하진전기위암D2근치술적64례환자，수궤분위보비조、절비조량조각32례，보비조행불절제비장적NO.10림파결청소，절비조행비장연합비문림파결절제술，관찰량조술중、술후정황급술후병발증적발생。결과절비조수술시간명현장우보비조（P＜0.05），기타지표량조차이무통계학의의（P＞0.05）。결론아과총결개진적복강경보조진전기근단위암NO.10림파결적청소기교재불영향료효적전제하，대우보류비장제고예후의의중대。
Objective To investigate the significance and skill of Laparoscopic dissection of NO.10 lymph nodes of advanced proximal gastric cancer. Methods 64 patients with advanced proximal gastric cancer were chosed and received Laparoscopic treatment,randomly divided into two groups,each of 32 cases.Spleen-preservation group(SPG) should preserve the spleen while receiving dissection of NO.10 lymph nodes and the Spleen-dissection group(SDG) removal of the spleen.The surgical procedure and complications during and after the operation were analyzed. Results SPG took shorter time in the operation time (P < 0.05),and both groups had no differences between other indicaters (P>0.05). Conclusion The modified skills of Laparoscopic dissection of NO.10 lymphnodes in advanced proximal gastric cancer cases play an important role in the Spleen-preservation and good prognosis.