论文部分内容阅读
标准R_2胃癌根治术对早期胃癌可以缩小化的观点,早在1980年初就开始有报道,近年已有众多的报告和实施结果相继发表。重新探讨对进展期胃癌所进行的包括广泛切除和预防性廓清的扩大根治,其目的是为了对早期胃癌制定一恰当、合适的标准术式。关于缩小根治术,必涉及到癌灶的浸润深度、范围、病灶数、淋巴结转移的判定、廓清程度等问题,而且必须把胃的粘膜癌(m)和粘膜下层癌(sm)明确地区别开来,加以研究。本文仅就早期胃癌的淋巴结转移及合理地进行淋巴结廓清问题进行讨论。一、病例本文以1968～1988年原发性早期胃癌手术病例1714例中根治性切除的1673例为主进行研究。
The concept of standard R_2 gastric cancer radical surgery for early gastric cancer can be reduced, as early as the beginning of 1980 has been reported, in recent years there have been numerous reports and implementation results have been published. The re-exploration of the extended eradication of advanced gastric cancer, including extensive resection and prophylactic clearance, aims to develop a proper and appropriate standard surgical procedure for early gastric cancer. With regard to radical mastectomy, the depth of invasion, the extent of the lesion, the number of lesions, the determination of lymph node metastasis, the degree of clearance, etc. must be involved, and gastric mucosal carcinoma (m) and submucosal carcinoma (sm) must be clearly distinguished. Come and study. This article only discusses lymph node metastasis of early gastric cancer and rational lymph node clearance. I. Cases This article focused on 1673 cases of radical resection in 1,714 cases of primary early gastric cancer from 1968 to 1988.