[
Abstract]
[
Full Text PDF] （in Japanese / 1685KB）
[Members Only And Two Factor Auth.] J.Jpn. Surg. Soc.. 89(7): 1008-1013, 1988
Original article
STUDY ON LYMPHATIC FLOW OF LOWER GASTRIC REGION FOR RADICAL LYMPHADENECTOMY OF ADVANCED LOWER GASTRIC CANCER
A prognosis of patients with a curative resected advanced cancer of the lower gastric region was worse than that of the other region of the stomach. The 5 year survival rate was only 47.3%. One of the main reasons was that a rate of lymph node recurrence was higher. In this point of view, we studied on lymphatic flow of the lower gastric region using an activated carbon particle (CH40). Lymph nodes were stained black soon after the injection of CH40 into the lower gastric wall at laparotomy. The black stained rate of an each regional lymph node was as follows. ③.58%, ④.17%, ⑤.50%, ⑥.25%, ①.21%, ⑦.58%, ⑧.83%, ⑨.58%, ⑪.17% and ⑫.33% in case of injectin into the greater curvature and ④.31%, ⑥.100%, ⑧.25%, ⑨.25%, ⑭V and 56% in case of injection into the lesser curvature. The stained rate was relatively high in ⑫ and ⑭V lymph node which we had not routinely dissected.
The rates of lymph nodes stained black were related to those of cancer metastasis. The results suggest that lymphadenectomy of ⑫ for the cancer at the lesser curvature and that of ⑭V for the cancer at the greater curvature might make a prognosis of lower gastric cancer better.
To read the PDF file you will need Adobe Reader installed on your computer.