术前胃镜下注射法纳米碳淋巴结示踪技术在腹腔镜胃癌根
治术中的应用
洪强;汪勇;王建军;胡丛岗;方跃君;樊潇霄;柳韬;童骎
【期刊名称】《中华医学杂志》 【年(卷),期】2017(097)002
【摘要】Objective To evaluate the application value of carbon lymph node tracing technique by preoperative endoscopic subserosal injection in laparoscopic radical gastrectomy.Methods From June 2013 to February 2015, seventy eight patients with gastric cancer were enrolled and randomly divided into trial group and control group.Subserosal injection of carbon nanoparticles around the tumor was performed by preoperative endoscopic subserosal injection one day before the operation in trial group , while the patients routinely underwent laparoscopic gastrectomy in control group.Results of harvested lymph nodes , postoperative complications were compared between the two groups.Carbon
nanoparticle-related
side
effect
was
also
evaluated.Results The average number of harvested lymph node in trial group was significantly higher than that in control group (35.5 ±8.5 vs 29.5 ±6.5, P<0.05).The rate of overall black-dyed harvested lymph node was 74.7% (1 035/1 386) in trial group, the black-dyed lymph node rate in D1 lymph node was 80.1%, which was significantly higher than that in D 2 lymph node (69.8%,χ2 =19.38, P<0.01).When comparing the lymph