摘要
目的 :探讨侧方淋巴结清除在直肠癌根治术中的临床意义。方法 :对 36例低位进展期直肠癌患者行根治术 ,清除上方 3组淋巴结的同时行侧方淋巴结清除 ,对分组淋巴结的转移情况进行评价。结果 :36例中有 19例有淋巴结转移 ,其中侧方淋巴结转移 5例 ,占阳性淋巴结病例的 2 6 .3% (5 / 19) ,占全部病例的 13.9% (5 / 36 )。结论 :为保证根治手术的彻底性 ,减少肿瘤复发 ,对腹膜返折部以下的进展期直肠癌除上方淋巴结必须清除达第 3站外 ,有必要同时进行侧方淋巴结清除。
Objective:To study the clinical significance of lateral lymphadenectomy in resection of rectal cancer.Methods:Lateral lymph nodes,as well as 3 groups of superior lymph nodes,were dissected in resection of rectal cancer.Lymph node metastasis of 36 cases with advanced lower rectal cancer was evaluated.Results:In 36 cases,there were 19cases with lymph node metastasis,of them 36.3%(5/19)were positive in lateral lymph node metastasis.The positive rate of lateral lymph node metastasis was 13.9%(5/36) in all cases.Conclusion:It is necessary that lateral lymph nodes were dissected for all patients with advanced lower rectal cancer below peritoneal fold,besides 3 groups of superior lymph node must be dissected.This protocal can prevent postoperative cancer recurrence.
出处
《大肠肛门病外科杂志》
2003年第1期24-26,共3页
Journal of Coloproctological Surgery
关键词
直肠癌
侧方淋巴
根治术
Rectal cancer
Lateral lymph node
Radical operation
