中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (10): 839-841.

• 论著 • 上一篇    下一篇

逆行腹膜后入路托出式脾门淋巴结清扫在胃癌根治术中应用价值

万相斌，任莹坤，韩广森，徐勇超，孙亚冬，李 智，王刚成，张 健，赵玉洲，张薛磊   

  1. 河南省肿瘤医院普外科，河南郑州450003
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-10-01 发布日期:2009-10-01

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-10-01 Published:2009-10-01

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摘要：

目的 探讨一种新的脾门淋巴结清扫方式。方法 2008 年5 月至2008 年9 月河南省肿瘤医院普外科对63 例病人采用逆行腹膜后入路托出式脾门淋巴结清扫，回顾性分析其基本资料和病理结果，并和同期脾脏切除组30 例病人资料相比较。结果 保脾组脾门淋巴结清扫总数409 枚，阳性淋巴结51 枚，No. 10 淋巴结阳性率为12. 4 % ；切脾组清除总淋巴结205 枚，阳性淋巴结24 枚，No. 10 淋巴结阳性率为11. 7 % 。两组清扫出淋巴阳性率差异无统计学意义。结论 逆行腹膜后入路托出式脾门淋巴结清扫可以安全的、彻底的清除脾门淋巴结。

关键词: 腹膜后入路, 脾门淋巴结清扫, 胃癌根治术

Abstract:

Extruded splenic hilar lymph nodes dissection with retroperitoneal approach retrogressively in radical gastrectomy for gastric cancer WAN Xiang-bin，Ren Ying-kun，HAN Guang-sen, et al. Department of Surgery, Tumor Hospital of Henan Province，Zhengzhou 450003, China Corresponding author: Ren Ying-kun, E-mail: ren402kun@yahoo.com.cn Abstract Objective To study a new approach of splenic hilar lymph nodes dissection in radical gastrectomy for gastric cancer. Methods The tail and body of spleen and pancreas were thoroughly freed with retroperitoneal way retrogressively and extruded out of abdominal cavity in 63 cases who received operation without splenectomy between May 2008 and September 2008 at Tumor Hospital of Henan Province. The clinical data of 63 cases were compared with those of the other 30 cases received splenectomy Results In 63 cases who received operation without splenectomy, the total splenic hilar lymph nodes were 409; the positive ones were 51; positive rate was 12.4%. In the other 30 cases, the total splenic hilar lymph nodes were 205; the positive ones were 24; positive rate was 11.7%. The positive rate had no statistic significances between the 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.

Key words: retroperitoneal approach, splenic hilar lymph nodes dissection, radical resection of gastric cancer