进展期胃癌腹腔镜第3站淋巴结清扫术  

Laparoscopic D3 radical gastrectomy for advanced gastric cancer

作　　者：钱锋[1] 唐波[1] 石彦[1] 赵永亮[1] 郝迎学[1] 孙刚[1] 兰远志[1] 余佩武[1] 

机构地区：[1]第三军医大学西南医院全军普通外科专科中心、微创胃肠外科中心,重庆400038

出　　处：《中华消化外科杂志》2012年第3期223-226,共4页Chinese Journal of Digestive Surgery

基　　金：重庆市科技攻关计划项目（CSTC,2009AC5144）

摘　　要：近年来，腹腔镜手术发展迅速，不少单位已能在腹腔镜下完成胃癌第1、2站淋巴结清扫，但是在腹腔镜下行第3站淋巴结清扫的技术方法还有待探索。在熟练掌握腹腔镜胃癌D2根治手术后，2008年9月至2011年4月，我中心成功对15例分期较晚的进展期胃癌患者行腹腔镜下第3站淋巴结清扫术，现将技术方法介绍如下。Advanced gastric cancer is usually dealt with D2 radical dissection. There are different opinions as to whether it is necessary to perform D3 radical lymphadenectomy, Some scholars thought that properly enlarged radical dissection can improve long-term outcomes for the treatment of advanced gastric cancer. In recent years, laparoscopic D1 and D2 radical dissection of gastric cancer could be carried out in many hospitals. However, the technique and related skills for performing D3 radical lymphadenectomy through laparoscope remains to be explored. Based on our previous experiences, D3 radical lymph-adenectomy using artery suspension method and medial-to-lateral approach for advanced gastric cancer is proved to be safe and feasible.

关 键 词：胃肿瘤 进展期 腹腔镜检查 淋巴结清扫术 胃切除术 

分 类 号：R735.2[医药卫生—肿瘤]