Effect of laparoscopic lymph node dissection on the radical degrees of advanced gastric carcinoma
10.3760/cma.j.issn.1673-4203.2009.02.008
- VernacularTitle:腹腔镜下淋巴结清扫对进展期胃癌根治度的影响
- Author:
Fujun XU
;
Wei CHEN
;
Lei XU
;
Jun XU
- Publication Type:Journal Article
- Keywords:
laparoscope;
lymph 13()de dissection;
gastdeic careinonm;
radical degrees
- From:
International Journal of Surgery
2009;36(2):91-94
- CountryChina
- Language:Chinese
-
Abstract:
Objective To clarify weather or not lymph node dissection can achieve the requests of gastric carcinoma radical degrees under laparoscopic operation for advanced gastric careinoma. Methods Sixty-five cases of advanced gastric carcinoma with under 1/3 stomach lesions and three cases with middle 1/3 stomach lesions. were randomly divided into tow groups: assisted laparoseopic group(n=33)and conventional gastric carcinoma D2 radical surgery group(n=35).The number of lymph node dissection, and the incidence of positive lymph nodes oecnred in damaged capsule. the margin necrosis analyzed. Results The average lymph node dissection of the laparoscopic group were 20.79±5.21 were ohscrved. the positive oases were 9.63±4.64.The average lymph nnde dissection of the control group were 21.20±5.04.the positivecases were 9.63±4.64. The two groups had no significant difference f (P>0.05)1. Positive-margin lymph node in the control gmup was 6 and 14 in the experimenl group ( P>0.05). The experlment gnmp margin appeared necrosis under eletronic microseope and the control group appeared degeneratinn. Conclusions Laparoscopic advanced gastric carcinoma lymph node dissectinn can D2 radical of advanced gastriC carcinoma demands(D>N), have significant difference with conventional surgery. Positive lymph node dissection margin of treatment is better than traditional surgery.
