胃癌淋巴结（Lymph node of gastric cancer）.doc

胃癌淋巴结（Lymph node of gastric cancer） Formulation of Japanese gastric cancer protocol and skip metastasis of lymph nodes in gastric cancer Time of publication: 2009-12-16 Publisher: Li Guoli (visitor: 588) The lymphatic circulation system of the stomach is very complex, so it is always a difficult problem to observe the lymph node metastasis rule and evaluate the lymph node metastasis of gastric cancer. At the end of nineteenth Century, when people realize that lymph node metastasis is the most common metastatic pattern of gastric cancer, it is difficult to achieve satisfactory results in simple gastrectomy for gastric cancer, many scholars began to study gastric lymphatic drainage system, explore the regularity of lymph node metastasis, lymph node excision related to. At the time of lymph node metastasis in gastric cancer has been found not only in the stomach, often appear in the upper edge of the pancreas and other parts, some scholars have tried to lymph node resection, but has not formed a complete theoretical system and clinical practice. In the early twentieth Century, after the initial experience of these studies and attempts was introduced into Japan, Japan, which had a higher incidence of gastric cancer and was urgently seeking an ideal treatment method, was rapidly popularized and further developed. Japan in 1944 according to the Kajitani of 166 cases of gastric cancer lymph node resection results, summed up the celiac artery system is closely related to lymph node metastasis of gastric carcinoma and the distribution, put forward the idea of lymphadenectomy for gastric cancer (1) system. Subsequently, Kajitani led the Japanese gastric cancer study according to this idea, first admiral from anatomy and metastasis of gastric cancer related lymph nodes one by one packet, a detailed description of the lymphatic drainage system of the stomach, and then from the distribution of histological observation of cancer positive lymph node metastasis, summarize the regul