扩大根治切除手术对胃癌治疗的临床意义

• 作 者: 张岂凡 鄢凤昌 赵家宏 刘福盛 赵廷忠 丁立
• 机 构: 哈尔滨医科大学肿瘤医院,哈尔滨医科大学肿瘤医院,哈尔滨医科大学肿瘤医院,哈尔滨医科大学肿瘤医院,哈尔滨医科大学肿瘤医院,哈尔滨医科大学肿瘤医院,
• 出 处: 肿瘤防治研究
• 发表日期: 1984年01期
• 关键词: 胃癌治疗 清扫范围 淋巴结转移 引流淋巴结 根治术 切除范围 淋巴结清扫 低分化腺癌 全胃切除 淋巴结清除

目前临床经治的胃癌绝大多数为进展期,对其施行根治术时,胃的切除范围已日趋认识一致,但其引流淋巴结的清扫范围仍是有争论的议题。我院于1981年9月开始,对可行根治的进展期胃癌手术范围做了适当扩大,采用选择性根治Ⅲ式方法,完成62例。根据第3站淋巴结转移情况,进一步探讨胃癌根治术时合理的淋巴结清扫范围,以及对选择性根治Ⅲ式手术的临床意义作适当评价。

At present, the majority of clinically-controlled gastric cancers are in advanced stages. When radical surgery is performed, the range of resection of the stomach has become more and more consistent. However, the extent of drainage of the draining lymph nodes remains a subject of debate. In September 1981, our hospital began to expand the scope of viable radical gastrectomy for advanced gastric cancer, and adopted the selective radical cure type III method to complete 62 cases. Based on the status of lymph node metastasis in the 3rd station, the scope of rational lymph node dissection during radical gastrectomy was further explored, and the clinical significance of selective radical surgery was evaluated.