書誌事項
- タイトル別名
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- ADVANTAGES AND DISADVANTAGES OF PARAAORTIC LYMPH NODE DISSECTION IN SURGICAL TREATMENT FOR ADVANCED GASTRIC CANCER
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説明
Advantages and disadvantages of para-aortic lymph node dissection were retrospectively studied. Of 123 cases of gastric cancer in which dissection of No. 16 was performed, metastasis to these lymph nodes was confirmed in 32 cases (26.0%). The frequencies of metastasis to No. 16 were significantly higher in cases with hepatic metastasis, peritoneal metastasis, serosal invasion of S2 and above, macroscopic lymph node metastasis of N2 and above, a tumor size of 5cm or greater. The 32 cases with histologically confirmed metastasis to No. 16 had a 5-year survival rate of 8.3%. Of these 32 cases, the 22 cases without hepatic or peritoneal metastasis had a 5-year survival rate of 12.1%, with two cases achieving relapsefree prolonged survival. Postoperative complications were studied in another 297 patiens who underwent curative B operation for advanced gastric cancer. The incidence of complications in cases with dissection of three or more areas of No. 16 was significantly higher than in those with dissection of one or two areas and those without dissection of No. 16. Therefore, No. 16 dissection should not be performed on all cases of gastric cancer, but will be useful if performed on the high risk group without hepatic and/or peritoneal metastasis.
収録刊行物
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- 日本臨床外科医学会雑誌
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日本臨床外科医学会雑誌 57 (12), 2891-2895, 1996
日本臨床外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001205315347200
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- NII論文ID
- 130003599887
- 10008525283
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- NII書誌ID
- AN00198696
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- ISSN
- 21892075
- 03869776
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可