从循证医学角度看胃癌的脾门淋巴结清扫

Dissection of splenic hilar lymph nodes for patients with gastric cancer：from the evidence-based view

对于胃癌根治术的脾门淋巴结清扫问题，仍有许多争议。如脾门淋巴结是否需要清扫？若需清扫是保留脾脏的清扫还是切除脾脏？最佳清扫方法是什么？腹腔镜或机器人脾门淋巴结清扫是否可行？本文将从循证外科的角度针对这些问题进行讨论。

There are many controversial issues in the aspects of No.10 lymphadenectomy, such as the necessity of No.10 lymphadenectomy, the value of splenectomy, the most appropriate procedure and the safety as well as feasibility of laparoscopic or robotic No.10 lymphadenectomy. These issues will be discussed in this article from the evidence-based view.