肝曲结肠癌胃结肠韧带淋巴结清扫的临床研究  

Clinical study on lymph node dissection of gastrocolic ligament in colon cancer at hepatic flexure

作　　者：侯钦猛[1] 刘璞[2] 王双德[3] 李林浩[1] Hou Qinmeng;Liu Pu;Wang Shuangde;Li Linhao(The second Department of General Surgery,Qingdao Municipal Hospital,Qingdao 266000,China;The First Department of General Surgery,Qingdao Municipal Hospital,Qingdao 266000,China;Department of Emergency Surgery,The Eeight People's Hospital of Qingdao,Qingdao 266000,china)

机构地区：[1]青岛市市立医院东院普外二科,青岛266000 [2]青岛市市立医院东院普外一科,青岛266000 [3]青岛市第八人民医院急诊外科,青岛266000

出　　处：《中华普通外科杂志》2022年第10期739-742,共4页Chinese Journal of General Surgery

摘　　要：目的研究肝曲结肠癌胃结肠韧带淋巴结的转移规律,探讨对其清扫的可行性及必要性。方法回顾性分析96例肝曲结肠癌患者胃结肠韧带淋巴结清扫数目、转移数目,对影响胃结肠韧带淋巴结转移的相关因素进行分析。结果本组96例患者中有7例发现胃结肠韧带淋巴结转移,转移率为7%,胃结肠韧带淋巴结3部分均可出现转移。胃结肠韧带淋巴结转移与神经侵犯、肿瘤出芽、N分期、肠梗阻均有关(均P<0.05)。结论肝曲结肠癌胃结肠韧带淋巴结清扫安全可行,并且可提供更为准确的病理分期。Objective To investigate the regularity of lymph node metastasis of gastrocolic ligament in colon cancer at hepatic flexure,and to explore the feasibility and necessity of the dissection.Methods The dissection number and the metastasis number of gastrocolic lymph nodes in 96 patients with colon cancer on the hepatic flexure were analyzed retrospectively.The related factors affecting the lymph node metastasis of gastrocolonic ligament were analyzed.Results Lymph node metastasis of gastrocolic ligament was found in 7 of 96 patients,and the metastasis rate was 7%.Metastasis was found in all three parts of gastrocolic lymph node.Gastrocolic lymph nodes metastasis were related to perineural invasion,tumor budding,N stage and intestinal obstruction(all P<0.05).Conclusion The dissection of gastrocolic lymph node of hepatic flexure colon cancer is safe and feasible,and can provide more accurate pathological staging,which provides a basis for follow-up adjuvant therapy.

关 键 词：结肠肿瘤 淋巴结 韧带 腹腔镜 

分 类 号：R735.35[医药卫生—肿瘤]