胃癌ⅢC期新型腹腔动脉系淋巴结清扫路径  

Novel celiac artery lymph node dissection path in gastric cancer of stage ⅢC

作　　者：杨爱国[1] 毛顺宝[1] 陈智勇[1] 聂凯[1] 

机构地区：[1]解放军第一七五医院普通外科,漳州363000

出　　处：《中华消化外科杂志》2013年第1期34-37,共4页Chinese Journal of Digestive Surgery

摘　　要：胃癌临床分期ⅢC期包括T4a-SEN3、T4b-SIN2、T4b-SIN3。由于腹腔动脉系淋巴结肿大、融合，与原发灶粘连成块状，胃周癌性粘连，采用传统路径清扫胃癌ⅢC期腹腔动脉系淋巴结存在显露胃左动脉根部困难，手术空间狭小，严重影响胃癌ⅢC期的切除与根治。运用新型腹腔动脉系淋巴结清扫路径，可使胃癌ⅢC期腹腔动脉系淋巴结清扫彻底，处理胃左动脉容易化，出血较少、手术时间较短，提高了胃癌ⅢC期根治性切除率。该方法应用于胃癌ⅢC期腹腔动脉系淋巴结清扫有独特之处。Pathological types of gastric cancer in stage ⅢC include T4a-SEN3, T4b-SIN2, T4b-SIN3. Celiac artery metastatic lymphadenopathy fused into blocks, usually from bottom to top. Limited operation space revealed anatomical and pathological factors, the dissection of the celiac artery lymph nodes, processing the left gastric artery root difficulty. Application of novel celiac artery lymph nodes dissection path, avoiding the limitation of the celiac artery lymph node dissection space exposure factors, so that the dissection of the celiac artery lymph nodes is more complete, processing the left gastric artery root easily, reduce the amount of bleeding, shorten operation time, increase the average lymph node dissection and the ⅢC gastric cancer resection rate.

关 键 词：胃肿瘤 新型路径 淋巴结清扫 腹腔动脉系 

分 类 号：R735.2[医药卫生—肿瘤]