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日本胃癌病人预后较好的原因不仅在于根治手术,细致的病理学检查也是很重要的.对切除的淋巴结做高度准确的检查,有助于准确估价手术的效果.日本胃癌研究协会制定的淋巴结分群(1～16)和分组(1～4组)法是非常有用的,只是过于复杂.作者提出一种简易的淋巴结分站法.病人和方法:1975—1990年日本Kyushu医院外二科为240例胃癌伴淋巴结转移的患者施行胃癌根治加淋巴结清扫术.作者按淋巴结分布部位分成3站,第1站包括胃大、小弯淋巴结和胃底、幽门周围淋巴结,又称为胃周淋巴结.第Ⅱ站是沿胃左动脉、肝总动脉和腹腔动脉分布的淋巴结,又称中间站.第Ⅲ站指的是脾门、脾动脉、肝十二指肠韧带、胰后、肠系膜根部、结肠中动脉和主动脉旁的淋巴结,也称远方淋巴结.在每一站都要检查是否有转移淋巴结.病人全部医疗和病理检查均详细记录,随访时间为56.1月,所得数据均经统计学处理.
The reason for the better prognosis of gastric cancer patients in Japan lies not only in radical surgery but also in careful pathological examination. A highly accurate examination of the resected lymph nodes can help accurately evaluate the effect of surgery. The lymph node clusters developed by the Japan Gastric Cancer Research Association The (1–16) and grouping (1–4 groups) methods are very useful, but they are too complex. The authors propose a simple approach to lymph node dissection. Patients and Methods: From 1975 to 1990, the Second Department of Kyushu Hospital in Japan was 240 Patients with gastric cancer and lymph node metastasis performed radical gastrectomy and lymph node dissection. The authors divided the lymph nodes into 3 stations. The first station included gastric and small curved lymph nodes and fundus, and pyloric lymph nodes, also known as perigastric lymph nodes. Station II is a lymph node distributed along the left gastric artery, common hepatic artery, and celiac artery, also known as the intermediate station. Station III refers to the splenic portal, splenic artery, hepatoduodenal ligament, posterior pancreatic, mesenteric root, and colon. Artery and paraaortic lymph nodes, also known as distant lymph nodes. Each site should be checked for metastatic lymph nodes. All medical and pathological examinations were recorded in detail. The follow-up time was 56.1 months. Data were confirmed by statistical analysis.