Effect of D2 radical resection combined with splenic artery and splenectomy in the radical resection of progressive gastric cardia cancer
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摘要: 目的 探讨进展期胃底贲门癌D2根治术联合脾动脉干及脾切除术对患者预后的影响.方法 回顾分析2000～2006年106例进展期胃底贲门癌No10、No11组淋巴结转移情况,以及对比采用D2根治术与D2根治术联合脾动脉干及脾切除术后的随诊情况.结果 本组病例均为进展期胃底贲门癌,D2根治术组58例,其中中分化腺癌14例,低分化腺癌32例,黏液腺癌12例.PT2 22例,PT3 35例,PT4 3例,术后5年生存率24.1％(14/58); D2根治术联合脾动脉干及脾切除术组48例,其中中分化腺癌10例,低分化腺癌29例,黏液腺癌8例,鳞癌1例,PT2 18例,PT3 26例,PT4 4例,No10转移8例(16.7％),No11转移9例,术后5年生存率39.6％(19/48).结论 进展期胃底贲门癌在D2根治术基础上联合脾动脉干及脾切除可提高患者术后生存率.
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