[系统性扩大淋巴结清扫术在胃癌根治性治疗中的应用]
[Systematic extended lymph node dissection in curative therapy of stomach cancer].
作者信息
Gall F P, Hermanek P
机构信息
Chirurgische Klinik mit Poliklinik, Friedrich-Alexander-Universität Erlangen.
出版信息
Chirurg. 1993 Dec;64(12):1024-30; discussion 1031.
On 545 patients with gastric carcinoma treated surgically for cure during June, 1, 1982 and December, 31, 1989 the value of the systematic extended lymph node dissection (SELD) was studied prospectively. In SELD neither surgical mortality nor postoperative complications were observed with increasing frequency. In stage II survival was significantly improved in patients with SELD, in stages IA, IB and IIIA an analogous trend was seen. Patients in stage IIIB and IV showed with and without SELD identical survival.
对1982年6月1日至1989年12月31日期间接受根治性手术治疗的545例胃癌患者，前瞻性地研究了系统性扩大淋巴结清扫术（SELD）的价值。在SELD中，未观察到手术死亡率和术后并发症随清扫范围增加而增多。在Ⅱ期患者中，接受SELD的患者生存率显著提高，在ⅠA期、ⅠB期和ⅢA期也观察到类似趋势。ⅢB期和Ⅳ期患者无论是否接受SELD，生存率相同。
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