Chernousov A F, Kiladze M A, Gnilitskiĭ L A, Zaikina T N, Sukach S E
Khirurgiia (Mosk). 1991 Sep(9):35-9.
Experience with 100 operations for carcinoma of the esophagus and stomach with expanded lymphadenectomy is analysed. The operative techniques are described and the necessity and expediency of expanded lymphadenectomy, the method of its performance, classification of the group of lymph nodes which must be removed are discussed. The postoperative mortality was 2%, complications in the postoperative period 25%. Metastases in the lymph nodes were confirmed histologically in 69% of cases. It is concluded that expanded lymphadenectomy is a necessary measure in surgical intervention in patients with carcinoma of the esophagus and stomach and improves the results of management of this group of patients.
分析了100例食管癌和胃癌扩大淋巴结清扫术的手术经验。描述了手术技术，讨论了扩大淋巴结清扫术的必要性和适宜性、其实施方法以及必须切除的淋巴结组的分类。术后死亡率为2%，术后并发症发生率为25%。69%的病例经组织学证实有淋巴结转移。结论是，扩大淋巴结清扫术是食管癌和胃癌患者手术干预的必要措施，可改善该组患者的治疗效果。
