| 近端胃癌下纵隔淋巴结转移及手术进路探讨 |
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| 引用本文： | 范朝辉 陈思梦. 近端胃癌下纵隔淋巴结转移及手术进路探讨[J]. 河北医学, 2000, 6(2): 99-102 |
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| 作者姓名： | 范朝辉 陈思梦 |
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| 作者单位： | [1]江苏省肿瘤防治研究所 [2]江苏省人民医院普外科 |
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| 摘 要： | 探讨手术治疗近端胃癌的合理方式和手术进路，方法：分析２３４例左进胸及４１例胸腹联合切口进路行近端胃癌根治术的临床结果。结果：近端胃癌有３２．３６％的病例出现下纵隔淋巴结转移，食管受侵时该组淋巴结阳性率明显增高。采用进胸入路腹腔淋巴结检出率明显偏低。结论近端胃癌根治术需要考虑清扫下纵隔淋巴结，胸腹联合切口进可兼顾下纵和腹腔淋巴结清扫 。
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| 关 键 词： | 胃肿瘤 肿瘤转移 下纵隔淋巴结 手术进路 |
Discussion of operative pathway basing on in ferior mediastinal lymph node metastasis from proximal gastric cancer |
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| FAN Zhao hui ,CHEN Si meng. Discussion of operative pathway basing on in ferior mediastinal lymph node metastasis from proximal gastric cancer[J]. Hebei Medicine, 2000, 6(2): 99-102 |
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| Authors: | FAN Zhao hui CHEN Si meng |
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| Affiliation: | FAN Zhao hui 1,CHEN Si meng 2 |
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| Abstract: | Objective:To discuss the reasonable mode and operative pathway of operative treatment in proximal gastric cancer. Methods:Analyzed clinical results of redical operation for carcinoma of proximal stomach,including 234 left thoracic incision and 41 abdomino-thoracic incision.Results:Inferior mediastinal lymph node metastatic rate was 32.36%.Metastatic positive rate increased when esophagus had been invased.Positive rate of ciliac lymph nodes by thoracic incision path way was much more lower than by abdominal incision pathway .Conclusion:The results indicated that redical operation for carcinoma of proximal stomach by abdomino-thoracic incision pathway was the best method for clearance of inferior mediastinal lymph nodes. |
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| Keywords: | Proximal gastric cancer Redical operation for carcinoma of stomach Inferior mediastinal lymph node Operative pathway |
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