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根据2010版《日本胃癌治疗指南》,对局部进展期胃上部癌行全胃切除加D2淋巴结清扫时,必须清扫包括脾门区淋巴结在内的第1~12组淋巴结。局部进展期胃上部癌腹腔镜脾门淋巴结清扫是其重要组成部分,目前该术式仍处于探索性开展阶段。现有的研究显示其近期疗效令人满意,但远期临床获益尚缺乏循证医学证据。我院已成功开展346例腹腔镜胃癌保脾脾门淋巴结清扫术,总结出一整套完整的手术操作流程,笔者将其称为“三步
According to the 2010 edition of Japan Guideline for the Treatment of Gastric Cancer, when the total gastrectomy plus D2 lymph node dissection is performed on the locally advanced gastric upper neoplasm, lymph nodes 1 to 12 including the splenic lymph nodes must be dissected. Local advanced gastric cancer laparoscopic splenectomy lymph node dissection is an important part of the current surgical method is still in the exploratory stage. The current research shows that the recent curative effect is satisfactory, but the long-term clinical benefit is still lack of evidence-based medicine. Our hospital has successfully carried out 346 cases of splenectomy of spleen and spleen lymph node dissection laparoscopic surgery, summed up a complete set of surgical procedures, the author will call it ”three steps