【摘 要】
：
目的:探讨侧方淋巴结清除在直肠癌根治术中的临床意义.方法:对36例低位进展期直肠癌患者行根治术,清除上方3组淋巴结的同时行侧方淋巴结清除,对分组淋巴结的转移情况进行评价
【机 构】
：
广西柳州市肿瘤医院普通外科545006
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目的:探讨侧方淋巴结清除在直肠癌根治术中的临床意义.方法:对36例低位进展期直肠癌患者行根治术,清除上方3组淋巴结的同时行侧方淋巴结清除,对分组淋巴结的转移情况进行评价.结果:36例中有19例有淋巴结转移,其中侧方淋巴结转移5例,占阳性淋巴结病例的26.3%(5/19),占全部病例的13.9%(5/36).结论:为保证根治手术的彻底性,减少肿瘤复发,对腹膜返折部以下的进展期直肠癌除上方淋巴结必须清除达第3站外,有必要同时进行侧方淋巴结清除.
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