Jakab F, Baranyai L, Baranyai Z, Országh A, Mayer A, Bajtai A
Department of Surgery, Uzsoki Teaching Hospital, Budapest, Hungary.
Acta Chir Hung. 1997;36(1-4):141-2.
In a randomised study 25 patients with gastrointestinal surgery combined with extended lymphadenectomy (three field lymphadenectomy in case of esophageal cancer, D2 lymphadenectomy in case of gastric cancer) has been compared to the same number of patients with limited lymphadenectomy (D1). The operation time and the need for blood transfusion has increased in the extended lymphadenectomy group. The complication rate was more than doubled in the extended lymphadenectomy group, due to fluid or lymph collection, lymphatic edema, and infection. The mapping and staging was superior in extended lymphadenectomy group, but increased morbidity and mortality has been found in this group. However the favourable effect of extended lymphadenectomy on survival needs further long-term studies and proofs.
在一项随机研究中，将25例行胃肠手术并扩大淋巴结清扫术（食管癌行三野淋巴结清扫术，胃癌行D2淋巴结清扫术）的患者与相同数量行有限淋巴结清扫术（D1）的患者进行了比较。扩大淋巴结清扫术组的手术时间和输血需求增加。由于液体或淋巴液积聚、淋巴水肿和感染，扩大淋巴结清扫术组的并发症发生率增加了一倍多。扩大淋巴结清扫术组的定位和分期更优，但该组的发病率和死亡率有所增加。然而，扩大淋巴结清扫术对生存的有利影响需要进一步的长期研究和证据。
