保留脾胰清除脾门和脾动脉干淋巴结的胃癌手术疗效观察

A spleno-pancreas preserving lymph node clearance in the radical resection of gastric carcinoma

目的探讨胃癌手术保留脾脏、胰腺 ,清除脾门和脾动脉干淋巴结方法的疗效。方法采用保留脾胰、清除脾门和脾动脉干淋巴结方法治疗 6 1例胃癌患者 ,观察其术后并发症发生率和生存率。结果保脾胰法的术后并发症发生率、死亡率均较保胰法和胰脾联合切除法低 ,而生存率较高。结论保脾胰法是一种安全。

ObjectiveTo evaluate the results of a novel operative procedure of spleen and pancreas preserving clearance of lymph nodes on spleen hillus and along the splenic artery in gastric resection for gastric carcinoma.Methods The postoperative complications and survival rates were observed in 61 patients of gastric carcinoma undergoing gastrectomy with preservation of the spleen and pancreas (PSP) and clearance of lymph nodes on spleen hillus and along splenic artery.Results were compared with those undergoing traditional operations. Results The postoperative complications and mortality were lower and survival rates higher in patients with preservation of spleen and pancreas than those with spleen and a portion of the pancreas resected.Conclusions Spleno-pancreas preserving lymph node clearance on the splenic hillus and along pancreatic artery is safe and effective procedure in radical gastrectomy for patients with gastric carcinoma.