Article(id=1208516100791341298, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1208516099369464789, articleNumber=null, orderNo=null, doi=10.11855/j.issn.0577-7402.2022.01.0084, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=research-article, receivedDate=1619452800000, receivedDateStr=2021-04-27, revisedDate=null, revisedDateStr=null, acceptedDate=1624291200000, acceptedDateStr=2021-06-22, onlineDate=1766062291571, onlineDateStr=2025-12-18, pubDate=1643299200000, pubDateStr=2022-01-28, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1766062291571, onlineIssueDateStr=2025-12-18, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1766062291570, creator=13701087609, updateTime=1766062291570, updator=13701087609, issue=Issue{id=1208516099369464789, tenantId=1146029695717560320, journalId=1189873630562394117, year='2022', volume='47', issue='1', pageStart='1', pageEnd='101', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=0, createTime=1766062291230, creator=13701087609, updateTime=1766062975431, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1208518969208738485, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1208516099369464789, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1208518969208738486, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1208516099369464789, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=84, endPage=88, ext={EN=ArticleExt(id=1208516102842355960, articleId=1208516100791341298, tenantId=1146029695717560320, journalId=1189873630562394117, language=EN, title=Research progress on lymph node noncompliance in D2 radical resection of advanced gastric cancer, columnId=1190243275882729994, journalTitle=Medical Journal of Chinese People’s Liberation Army, columnName=Review, runingTitle=null, highlight=null, articleAbstract=
Lymph node noncompliance is an indicator. If multiple lymph node stations are not detected in each group of lymph nodes submitted for inspection, the specimen is regarded as lymph node noncompliance. Under the background that the incidence of advanced gastric cancer has been increasing year by year, more and more surgeons have begun to pay attention to the surgical effect of radical gastric cancer surgery and the prognostic quality of life of patients. A large number of domestic and foreign experimental studies have shown that the sequence of lymph node metastasis of gastric cancer is roughly from the lesser curvature of the stomach to the lymph nodes around the abdominal aorta. In addition, during the process of lymph node metastasis, there may be lymph nodes that do not appear in the specified location, or due to the factors such as the patient's advanced age, different surgical procedures, thick abdominal fat, deep tumor invasion, and more intraoperative bleeding, the D2 lymph node may be used for gastric cancer. During the resection operation and postoperative pathological sorting, certain errors occurred. Although radical resection of D2 lymph nodes has become a standard surgical approach for the treatment of advanced gastric cancer, a variety of congenital anatomical factors or human error factors will still cause a decrease in the detection rate of postoperative lymph nodes. Therefore, adequate D2 anatomy is still a research focus and difficulty for surgeons. This article discusses the research progress of lymph node noncompliance in D2 radical resection of advanced gastric cancer.
, correspAuthors=Hong-Tao Li, authorNote=null, correspAuthorsNote=
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淋巴结不符合是指标本送检的各组淋巴结中,未检测到多个淋巴结组,这种情况的出现使相当一部分患者预后不良。虽然目前D2淋巴结根治术已成为进展期胃癌的标准术式并被纳入指南,但术后仍会出现淋巴结检出率下降。因此,充分的D2解剖仍然是外科医师的研究重点和难点。本文就进展期胃癌D2根治术淋巴结不符合的研究进展进行综述。
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高笑欣,硕士研究生,住院医师,主要从事胃肠道肿瘤方面的研究
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