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[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.

PMID:8119087
Abstract

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.

摘要

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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Does extended lymphadenectomy influence prognosis of gastric carcinoma after curative resection?扩大淋巴结清扫术对胃癌根治性切除术后的预后有影响吗?
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引用本文的文献

1
D3 lymph node dissection in gastric cancer: evaluation of postoperative mortality and complications.胃癌的D3淋巴结清扫术:术后死亡率和并发症评估
Surg Today. 2000;30(8):700-5. doi: 10.1007/s005950070080.
2
pTNM and residual tumor classifications: problems of assessment and prognostic significance.pTNM 及残留肿瘤分类:评估问题与预后意义
World J Surg. 1995 Mar-Apr;19(2):184-90. doi: 10.1007/BF00308624.
3
Lymphadenectomy for gastric cancer in clinical trials: update.
World J Surg. 1995 Jul-Aug;19(4):546-53. doi: 10.1007/BF00294718.
4
Extended gastrectomy: who benefits?扩大根治性胃切除术:谁能从中获益?
World J Surg. 1995 Jul-Aug;19(4):541-5. doi: 10.1007/BF00294716.
5
News of TNM and its use for classification of gastric cancer.TNM消息及其在胃癌分类中的应用。
World J Surg. 1995 Jul-Aug;19(4):491-5. doi: 10.1007/BF00294707.