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目的 探讨胃癌No16淋巴结清扫术式的可行性和意义 ,提出合适的No16淋巴结清扫术指征。方法 对 1998年 9月至 2 0 0 1年 9月所行的 4 8例No16淋巴结清扫术病例资料进行分析。结果 在 4 8例No16淋巴结清扫术中发现有第 16淋巴结转移者 9例 ,转移率为 18 6 % ,浸润型胃癌、肿瘤直径大于 5cm、肿瘤侵及浆膜以及第 2、3站淋巴结受累时 ,No16淋巴结转移率明显增高 (P <0 0 5 )。全组病例无手术死亡 ,手术并发症也未见明显增高。结论 只要严格掌握手术适应证 ,No16淋巴结清扫术是安全、可行、有效的
Objective To investigate the feasibility and significance of No16 lymphadenectomy for gastric cancer and to put forward the suitable indications for No16 lymphadenectomy. Methods The data of 48 cases of No16 lymph node dissection performed from September 1998 to September 2001 were analyzed. Results In 48 cases of No16 lymph node dissection, there were 9 cases with 16th lymph node metastasis, 18.6% metastasis, infiltrative gastric cancer with tumor diameter greater than 5cm, tumor invading serosa and lymph nodes at stage 2 and 3 , No16 lymph node metastasis was significantly higher (P <0 05). All patients without surgical death, surgical complications have not been significantly increased. Conclusion No16 lymphadenectomy is safe, feasible and effective as long as the surgical indication is strictly controlled