A clinical study on selective D2~+-D3 dissection in treating patients with advanced gastric carcinom / 中国基层医药

ABSTRACT

Objective To study the rule of lymphatic metastasis of progressive gastric carcinoma aiming at the properscope of clearance of lymph nodes.Methods Retrospective analysis of 118 cases of advanced gastric cancer patients,respectively D1,D2,D3 radical mastectomy and selective D2~+-D3 radical operation of gastric cancer,their 5-year survival rate,operation time,blood loss,postoperative complications,were compared.Results Selective D2~+-D3 radical gastrectomy group of 5-year survival rate was 40.00%,significantly higher than the D2 group 16.67%(P ＜0.05),while D3 and the radical mastectomy was no difference of 44.44%.The post operative complications occurred in the circumstances there is no significant difference,surgery time and surgery-related mortality rate than the radical mastectomy to reduce the D3.Conclusion Selective D2~+-D3 radical operation of gastric cancer can be improved and part of the period ⅢⅣ gastric cancer survival.but the trauma of surgery than patients D3-small;to avoid unnecessary part of the total gastrectomy patients,postoperative quality of life better.In the operation there is no simple and effective method of detecting lymph node metastasis,this method is a good approach.