淋巴结清扫术后并发症的管理。
Management of postoperative complications of lymphadenectomy.
作者信息
Barchi Leandro Cardoso, Charruf Amir Zeide, de Oliveira Rodrigo José, Jacob Carlos Eduardo, Cecconello Ivan, Zilberstein Bruno
机构信息
Digestive Surgery Division, Department of Gastroenterology, University of Sao Paulo School of Medicine, São Paulo, Brazil.
出版信息
Transl Gastroenterol Hepatol. 2016 Dec 27;1:92. doi: 10.21037/tgh.2016.12.05. eCollection 2016.
Abstract
Gastric cancer remains a disease with poor prognosis, mainly due to its late diagnosis. Surgery remains as the only treatment with curative intent, where the goal is radical resection with free-margin gastrectomy and extended lymphadenectomy. Over the last two decades there has been an improvement on postoperative outcomes. However, complications rate is still not negligible even in high volume specialized centers and are directly related mainly to the type of gastric resection: total or subtotal, combined with adjacent organs resection and the extension of lymphadenectomy (D1, D2 and D3). The aim of this study is to analyze the complications specific-related to lymphadenectomy in gastric cancer surgery.
摘要
胃癌仍然是一种预后较差的疾病，主要原因是其诊断较晚。手术仍然是唯一具有治愈意图的治疗方法，其目标是进行切缘阴性的根治性胃切除术和扩大淋巴结清扫术。在过去二十年中，术后结果有所改善。然而，即使在高容量的专业中心，并发症发生率仍然不可忽视，并且主要与胃切除的类型直接相关：全胃或次全胃切除，联合相邻器官切除以及淋巴结清扫范围（D1、D2和D3）。本研究的目的是分析胃癌手术中与淋巴结清扫相关的特定并发症。
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