Laletin V G, Chikoteev S P, Belonogov A V, Valetchik V P
Vopr Onkol. 1990;36(4):460-4.
Data on 160 extensive surgical procedures for gastric cancer were analysed. Gastrectomy was performed in 109 cases of whom 12 (11%) died; subtotal resection--in 42 with 2 (4.8%) postoperative deaths whereas proximal resection--in 9 patients (no fatalities). End results were available for 58 cases of whom 29 (50%) survived over three years postsurgery. Radical surgery for locally advanced gastric cancer included removal of the greater and lesser omenta, bursa omentalis and retroperitoneal lymph nodes. Lymphadenectomy was confined to the following five fascial-fatty spaces: hepato-unciform, spleno-unciform, paraaortic, splenic and left reno-aortic.
对160例广泛的胃癌手术病例数据进行了分析。109例行胃切除术，其中12例（11%）死亡；42例行次全切除术，术后2例（4.8%）死亡；9例行近端切除术（无死亡病例）。58例有最终结果，其中29例（50%）术后存活超过三年。局部进展期胃癌的根治性手术包括切除大网膜、小网膜、网膜囊和腹膜后淋巴结。淋巴结清扫局限于以下五个筋膜脂肪间隙：肝镰状、脾镰状、主动脉旁、脾和左肾主动脉。
