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目的探讨进展期胃癌D2根治术行沿胆总管淋巴结(No.12b组)和胰头后淋巴结(No.13组)清扫的必要性。方法回顾性分析2013年2月至2016年4月行胃癌D2根治术、并行No.12b和No.13组淋巴结清扫的88例进展期胃癌患者的临床资料,分析No.12b和No.13组淋巴结转移情况。结果在88例进展期胃癌患者中有12例发现No.12b和/或No.13组淋巴结转移,转移率为13.64%;其中远端胃癌患者69例,有12例出现No.12b和/或No.13组淋巴结转移,转移率为17.39%;近端胃癌患者19例,未见No.12b和No.13组淋巴结转移。结论对肿瘤病灶位于远端胃的进展期胃癌患者,应在行胃癌D2根治术的基础上同时清扫No.12b和No.13组淋巴结。
Objective To investigate the necessity of radical gastrectomy for advanced gastric cancer with dissection of the common bile duct lymph nodes (No.12b group) and posterior pancreatic nodules (No.13 group). Methods The clinical data of 88 patients with advanced gastric cancer who underwent D2 radical gastrectomy and No.12b and No.13 lymph nodes dissection from February 2013 to April 2016 were retrospectively analyzed. Lymph node metastasis. Results Twelve of the 88 patients with advanced gastric cancer found lymph node metastasis in group No.12b and / or group No.13 with a metastasis rate of 13.64%. Among them, 69 patients had distal gastric cancer, 12 patients had No.12b and / or No.13 lymph node metastasis group, the transfer rate was 17.39%; proximal gastric cancer in 19 patients, no No.12b and No.13 lymph node metastasis. Conclusions For patients with advanced gastric cancer with tumor lesions located in the distal stomach, the lymph nodes of No.12b and No.13 should be simultaneously cleaned on the basis of D2 radical operation of gastric cancer.