关键词: 淋巴结清扫术, 胃肿瘤

Abstract: 【Abstract】 Objective To compare the perioperative safety and efficacy between left initial pathway and right initial pathway of radical resection of bursa omentalis above the pancreas for advanced proximal gastric cancer. Methods The clinical data of 102 patients who underwent D2 lymphadenectomy for advanced proximal gastric cancer at People’s Hospital of Liyang Jiangsu from March 2009 to November 2015 were retrospectively analyzed. Fifity cases were performed radical resection by left initial pathway and 49 by right initial pathway. The intraoperative outcomes between the two groups were compared. Results Compared with right initial pathway, left initial pathway had shorter operation time, less intraoperative blood loss, and lower morbidity of postoperative lymphatic fistulas. There were no significant differences in the number of lymph node removed, time to anal exsufflation, time for fluid diet intake and time duration of hospital stay between the two groups. Conclusion Radical resection of bursa omentalis is very important for D2 lymphadenectomy for advanced proximal gastric cancer. Left initial pathway has advantage in the shorter operation time, less intraoperative blood loss, and lower morbidity of postoperative lymphatic fistulas. the pathway is safe、convenient and could be popularized.

Key words: Lymph node dissection, Gastric neoplasms