摘要
目的探讨进展期近端胃癌根治术联合脾脏切除术的合理适应证。方法选取我院自2005年3月至2008年2月期间50例进展期近端胃癌行全胃切除患者为研究对象,根据脾脏是否切除分为切脾组(n=18)和保脾组(n=32),比较2组患者间手术时间、住院时间、术后并发症以及脾门淋巴结转移情况。结果切脾组手术时间、住院时间和膈下感染发生率均明显高于保脾组(P<0.05)。切脾组与保脾组术后病理检查出的第10、11组淋巴结转移率的差异无统计学意义(P>0.05)。结论进展期近端胃癌根治术时,脾脏和脾血管受侵是联合脾脏切除的合理适应证。
Objective To investigate the reasonable indication of splenectomy in radical resection for advanced proximal gastric cancer（APGC）.Methods Fifty patients with APGC were studied and classified into total gastrectomy with splenectomy（TGS） group（n=18） and total gastrectomy without splenectomy（TG） group（n=32）.The operation time,hospitalized duration,complications,and lymphe node metastasis at the spleen hilus were compared between two groups.Results The operation time,hospitalized duration and subphrenic infection rate in the TGS group were significantly higher than those in the TG group（P0.05）.The rate of lymph node metasitasis of No.10 and No.11 in the TG group was not different from that in TGS group（P0.05）.Conclusion Direct spleen and its vessel invasion are the reasonable indication of splenectomy in radical resection for APGC.
出处
《中国普外基础与临床杂志》
CAS
2010年第1期22-24,共3页
Chinese Journal of Bases and Clinics In General Surgery
关键词
近端胃癌
根治术
脾切除
适应证
Proximal gastric cancer
Radical resection
Splenectomy
Indication
