[Lymphadenectomy: indications--technic--invasion--documentation].
From July 1st, 1982 until December 31st, 1986 359 patients were operated on carcinoma of the stomach. On an average 27.1 +/- 7.2 lymphnodes were removed and of these 9.8 +/- 6.1 lymphnodes were positive. The number of lymphnodes may be increased up to 42.2 +/- 8.8 by extended gastrectomy + splenectomy + left resection of the pancreas, that means by clearing out compartment III. It seems that radical lymphadenectomy of compartment I and II improves prognosis for stage N 1 by adjusting the median survival time to stage N 0.
Chirurgische Klinik und Poliklinik, Technischen Universität München, Klinikum rechts der Isar.
J
J
Lange
J R
JR
Siewert
D005743:Gastrectomy; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000473:pathology; D012307:Risk Factors; D013156:Splenectomy; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*
Lymphadenektomie: Indikation--Technik--Ausdehnung--Dokumentation.