摘要
目的探讨淋巴结清扫范围对胃癌预后的影响。方法回顾性分析我院2001年1月～2011年1月收治并有跟踪回访的96例胃癌患者的临床资料,根据患者的病理类型和临床分期选择不同的淋巴结清扫范围,分析其对预后的影响。结果在96例进展期胃癌患者中56例行D2根治术,平均生存期(46.0±6.2)个月;40例行D3根治术,平均生存期(48.0±5.1)个月。结论进展期胃癌D2和D3根治术对患者的预后没有差别,D2根治术是进展期胃癌的标准手术。清扫淋巴结范围越大,术中出血越多、术后并发症越多。
Objective To study the affection of lymph node dissection in advanced gastric cancer. Methods Retrospective analysis of our hospital from January 2001 to January 2011 and has treated 96 cases of gastric track return visits to the clinical data, based on the patient＇ s pathological type and clinical stage to select a different lymph node dissection, analysis of the prognosis. Results In 96 cases of advanced gastric cancer patients in 56 regular D2 resection, median survival 46 months.40 regular D3 resection, median survival 48 months. Conclusion D2 and D3 of advanced gastric cancer patients with radical surgery on the prognosis of no difference, D2 resection is the standard of advanced gastric cancer surgery. Greater the scope of the book lymph node dissection more bleeding, more postoperative complications.
出处
《中国现代医生》
2011年第24期70-71,共2页
China Modern Doctor
关键词
进展期胃癌
淋巴结清扫术
Advanced gastric carcinoma
Lymph node dissection
