| Autor: |
Takayuki Morita, Takashi Itoh, Ryukichi Hada, Yasunori Mikami, Hidetoshi Suzuki, Jun Suzuki, Yuzuru Sugiyama, Hiroyasu Kobori, Mitsuru Konn |
| Rok vydání: |
1994 |
| Předmět: |
|
| Zdroj: |
The journal of the Japanese Practical Surgeon Society. 55:2210-2214 |
| ISSN: |
0386-9776 |
| DOI: |
10.3919/ringe1963.55.2210 |
| Popis: |
The results of excision for se gastric cancers largely depend on two factors, peritoneal dissemination and lymph node metastasis. Pre-or intra-operative information related to the lymph node involvement may facilitate a more effective, i.e., more biased management against the possible peritoneal dissemination which often leads to a fatal outcome. Clinicopathological features of 24 patients without (Group A) and 133 patients with microscopic lymph node involvement (Group B) having undergone a gastric resection combined with ≥R2 node dissection for a se cancer were retrospectively analyzed. There was a wide discrepancy between the pre-/intra-operative (macroscopic) and postoperative (microscopic) judgement on node involvement. No noticeable difference was found between Group A and B except that a type 3 tumor and peritoneal dissemination were more frequent in the Group B patients with positive lymph nodes. To lessen the degree of node dissection, thereby more concentrating on the management of peritoneal dissemination, intraoperative frozen section histology for node metastasis seemed mandatory. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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