@article{oai:niigata-u.repo.nii.ac.jp:00019124,
 author = {牧野, 春彦 and 梨本, 篤 and 松原, 要一 and 田中, 乙雄 and 鈴木, 力 and 藍沢, 喜久雄 and 西巻, 正 and 田宮, 洋一 and 佐藤, 賢治 and 畠山, 勝義 and 武藤, 輝一},
 issue = {9},
 journal = {新潟医学会雑誌, 新潟医学会雑誌},
 month = {Sep},
 note = {A basic study was undertaken to determine the indications for subtotal gastrectomy with limitted lymph node dissection in patients with early gastric cancer located in the lower third of the stomach. This procedure is different from conventional subtotal gastrectomy, and the hepatic, celiac, some gastric branches of the vagus nerve and left half of greater omentum could be preserved. One hundred sixty-eight patients who underwent distal subtotal gastrectomy were studied clinico-pathologically. None of the patients with intramucosal cancer was found to have lymph node metastases regardless of macroscopic classification, tumor size, or histologic type of cancer. Out of 77 patients with submucosal cancer, the incidence of lymph node involvement was 20% in patients with elevated type, 37% with depressed type, and 37% with combined type, according to the macro-scopic classification of cancer. Nodal metastases were studied in relation to the histologic type of gastric cancer in patients with lesions involving the submucosa. Twenty-one percent of the patients with moderately to well-differentiated cancer were found to have metastases, while 60% of those with poorly to undifferentiated cancer had metastases. However, no relation was found between tumor size and the incidence of lymph node Metastases in these patients. These results suggest that the right cardiac, left greater curvature, left gastric, hepatic and celiac lymph nodes could be preserved in patients with early gastric cancer confined to the mucosa in the lower third of the stomach.},
 pages = {674--680},
 title = {A領域早期胃癌に対する迷走神経および左半大網温存胃切除術の可能性},
 volume = {108},
 year = {1994}
}