以胰腺为中心的远端胃癌D2淋巴结清扫术疗效分析

目的探讨以胰腺为中心的远端胃癌D2淋巴结清扫术的手术路径可行性及临床意义。方法选取我院自2012年3月至2012年2月收治的确诊为进展期远端胃癌患者26例，采取以胰腺为中心的D2淋巴结清扫术，记录手术时间、出血数量、淋巴结数目，观察术后并发症情况。结果26例手术均成功完成；术中出血量50～200mL，平均110mL；术后淋巴结清扫数目16～35个，平均26个。术后有1例出现腹腔出血并发症，1例出现淋巴漏并发症，经治疗后均痊愈出院；随访1个月至1年，无局部复发及远处转移病例，无死亡病例。结论以胰腺为中心的远端胃癌D2淋巴结清扫术，安全可行，并发症发生率低。

Curative effect analysis of D2 lymphadenectomy for distal gastric cancer with pancreas as the central landmark

Objective To investigate the feasibility and clinical significance of D2 lymphadenectomy for distal gastric cancer in which the pancreas were regarded as the central landmark. Methods 26 patients of advanced distal gastric cancer were performed D2 lymphade-nectomy centered on the pancreas from March 2012 to February 2013. The operation time, amount of bleeding, number of lymph nodes, and postoperative complications were recorded. Results All the 26 patients underwent the operation successfully. The amount of bleeding was 50 200 mL（ averagely 110 mL） , and the number of lymph nodes which were cleaned was 16 - 35 （averagely 26 ）. One patient had intra-ab-dominal hemorrhage and one patient had lymphorrhagia after the operation, and they were cured finally. There was no local recurrence, no dis-tant metastasis, and no death case occurred during the follow-up. Conclusion D2 lymphadenectomy for distal gastric cancer with pancreas as the central landmark is safe and feasible, and it is of lower incidence of complications .