腹腔镜胃癌根治术保脾脾门淋巴结清扫术技巧及意义

doi:10.3877/cma.j.issn.1674-3946.2018.02.002

中华普外科手术学杂志(电子版) ›› 2018, Vol. 12 ›› Issue (02) : 95 -98. doi: 10.3877/cma.j.issn.1674-3946.2018.02.002

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腹腔镜胃癌根治术保脾脾门淋巴结清扫术技巧及意义

杜晓辉¹^,^†(

), 胡时栋¹

^1. 100853　北京，解放军总医院普通外科

收稿日期:2017-12-15 出版日期:2018-02-26
通信作者: 杜晓辉

Surgical skills and clinical significance of spleen-preserving splenic hilar lymphadenectomy in laparoscopic gastrectomy

Xiaohui Du¹^,^†(), Shidong Hu¹

^1. Department of general surgery, PLA gerneral hospital, Beijing 100853, China

Received:2017-12-15 Published:2018-02-26
Corresponding author: Xiaohui Du
About author:
Corresponding author: Du Xiaohui, Email: duxiaohui301@sina.com
Supported by:
Natural Science Fundation of China(NO. 61471397, 61170123 and 60601018); Natural Science Fundation of Hainan Province(NO. 813226); 11th 5-year Science and technology project of PLA(NO. 06G107); Science and technology Nova plan of Beijing city(NO. 2006A51); 10th 5-year Key project of PLA(NO. 04Z019)

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中上部胃癌易发生脾门淋巴结转移，脾门淋巴结清扫是胃癌D2淋巴结清扫术重要部分。脾门结构及血管分布复杂，一定程度限制了保脾淋巴结清扫的应用。随着外科设备及技术的发展，保脾脾门淋巴结清扫术逐渐受到认可及应用。选择合适的手术入路及防控术中出血，腹腔镜胃癌根治术保脾脾门淋巴结清扫术具有良好的近远期疗效，有望成为胃癌根治术的标准之一。

关键词: 胃肿瘤, 腹腔镜检查, 淋巴结切除术

Splenic hilar lymph nodes metastasis are prone to occurred in patients with middle-upper gastric cancer, therefore splenic hilar lymphadenectomy is recognized as an important part of the D2 lymph nodes dissection of gastric cancer. However, due to complicated distribution of splenic vessels, clinical application of spleen-preserving splenic hilar lymphadenectomy are limited. With the development of surgical equipment and technology, spleen-preserving splenic hilar lymphadenectomy is gradually recognized and applied. Laparoscopic pleen-preserving splenic hilar lymphadenectomy could achieve satisfactory clinical outcome in treating patients with gastric cancer, by appropriate surgical approaches and intraoperatie bleeding control, which might become one of the standard surgical methods of gastrectomy.

Key words: Stomach Neoplasms, Laparoscopy, Lymph Node Excision

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