Ballesta Lopez C, Ruggiero R, Bastida X, Nieto B, Hassan H
Servicio de Cirugia A, Hospital de Bellvitge Princeps D'Espanya, Barcellona, España.
Minerva Chir. 1990 May 15;45(9):619-23.
Of 220 patients operated for gastric cancer, 74 with subtotal gastrectomy and 145 with total gastrectomy (60 with lymphadenectomy), the results and indications for total gastrectomy extended with lymphadenectomy are analysed. The importance of lymph node emptying in relation to the possibility of breakdown of the lymphnode chains with R2 metastasis is particularly stressed. Analysis of perioperative mortality and long-term survival indicates results that are close to the data reported by Japanese schools.
在220例接受胃癌手术的患者中，74例行胃次全切除术，145例行全胃切除术（其中60例行淋巴结清扫术），对扩大淋巴结清扫范围的全胃切除术的结果和适应证进行了分析。特别强调了淋巴结清扫对于防止R2转移导致淋巴结链破裂可能性的重要性。围手术期死亡率和长期生存率分析表明，结果与日本学者报告的数据相近。
