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目的 提高进展期胃癌手术治愈率。方法 回顾性分析 1993～ 1998年间我院施行的胃癌根治术 175例。结果 早期胃癌 16例 (9 1% ) ,进展期胃癌 15 9例 (90 9% )。D2术患者 12 2例。绝对根治率 (淋巴结清扫范围大于淋巴结转移范围 ) 5 9 8% (73/ 12 2 ) ,包括No 16在内的扩大淋巴清扫术患者 5 3例 ,绝对根治率 83% (4 4/ 5 3)。总体 5年生存率 30 5 % (2 1/ 6 9)。绝对根治术 5年生存率36 3% (16 / 44 ) ,相对根治术 (淋巴结清扫范围内有转移 ) 5年生存率 2 0 % (5 / 2 5 )。包括No 16清扫术在内的绝对根治患者 5年生存率 41 7% (5 / 12 )。结论 有选择性的施行包括No 16在内的扩大淋巴结清扫对提高进展期胃癌生存率是合理和必要的
Objective To improve the surgical cure rate of advanced gastric cancer. Methods Retrospective analysis of 175 cases of radical gastrectomy performed in our hospital between 1993 and 1998. Results There were 16 cases (9 1%) of early gastric cancer and 159 cases (90 9%) of advanced gastric cancer. Twelve patients with D2 surgery. Absolute cure rate (lymph node dissection range greater than the range of lymph node metastasis) 5 9 8% (73/12 2), including 56 cases of enlarged lymphatic dissection patients included 53, absolute cure rate of 83% (4 4 / 5 3) . The overall 5-year survival rate was 30.5% (2 1/69). The 5-year survival rate of absolute radical resection was 36 3% (16/44). The 5-year survival rate of radical resection (with lymph node dissection within 2%) was 20% (5/25). The 5-year survival rate of absolute radical patients, including No 16 dissection, was 41.7% (5/12). Conclusion Selective lymph node dissection, including No 16, is reasonable and necessary to improve the survival rate of advanced gastric cancer.