进展期胃癌腹主动脉旁淋巴结清扫临床探究.docVIP

进展期胃癌腹主动脉旁淋巴结清扫临床探究[摘要] 目的 比较胃癌根治术加腹主动脉旁淋巴结清扫术(D3)与胃癌根治术(D2)治疗进展期胃癌的并发症及生存率的改变。方法 151例进展期胃癌分别行D3及单纯D2术,观察术后并发症及术后生存率的差异。结果 D3不增加手术并发症,生存率曲线差异有显著性意义(P=0.013)。结论 进展期胃癌如条件许可在D2基础上加行腹主动脉旁淋巴清扫术(D3)可提高生存率。 [关键词] 胃肿瘤;淋巴结切除;生存率 [中图分类号] R735.2 [文献标识码] A[文章编号] 1673-9701(2009)34-06-02 Para-aortic Lymph Node Dissection for Gastric Cancer of Progressive Stage:A Clinical Study HUANG YongjianYE JianxinXU Dongpo The First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China [Abstract] Objective To evaluate complications and survival rate by comparing gastric cancer radical su