腹腔镜“淋巴引流区”清扫联合胃局部切除术治疗早期胃癌的再认识
DOI: 10.3971/j.issn.1000-8578.2018.17.0768
Keywords: A Meta-analysis,Application of Near-infrared Fluorescent Imaging in Thoracic Surgery,Effect of Operation Incision Selection on Success rate of Sentinel Lymph Node Biopsy and Subcutaneous Hydrops in Breast Cancer,A Survey of Chinese Breast Surgeons’ Response in Clinical Practice to ACOSOG Z0011 Trial,Relationship Between Pokemon Expression and Sentinel Lymph Node Micro-metastasis in Colorectal Cancer,Modern Face of Breast Surgery: A Surgical Oncologist’s Review and Perspective,Comparison of Puncture Methods for Transrectal Ultrasound-guided Prostate Biopsy at#br# Various PSA Levels,Multivariate Analysis of Non-sentinel Lymph Node Status in Breast Cancer Patients with Positive Sentinel Lymph Node,Effect of 48 Cases Early Breast Cancer Patients Treated with Sentinel Lymph Node Biopsy Alone,Application of Lymphoscintigraphy and Blue Dye Method in Sentinel Lymph Node Location of Breast Cancer,Expression of MMP-9 and E-cadherin in Early Gastric Carcinoma and Metastasic Lymph Node,Detection of Sentinel Lymph Node Micrometastases in Breast2conservation Therapy of Breast Cancer and Its Prognostic Signif icance,Detection and Evaluation of Serum Proteomic Patterns by SELDI-TOF-MS in Early Gastric Cancer
Abstract:
摘要 前哨淋巴结的检查和活检对于及时诊断和治疗肿瘤非常重要。临床上针对早期胃癌常采用内镜黏膜下剥离术等技术，但存在无法精确直观地判断有无淋巴结转移导致错失治疗时机等风险。胃恶性肿瘤中存在包含着前哨淋巴结的“淋巴引流区”，腹腔镜下对“淋巴引流区”进行清扫可以获取前哨淋巴结，并通过对清扫获得的前哨淋巴结进行活检来指导手术。由此“淋巴引流区”清扫联合胃局部切除术不仅能够达到内镜黏膜下剥离术的治疗效果，同时又能避免遗漏肿瘤淋巴结微转移的风险，是一种值得推荐的手术方式。本文针对此术式的相关难点及问题进行综述，以供临床借鉴参考
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