许多证据提示术中淋巴结清扫术可以安全的进行，而且应该替代采样淋巴结切除成为确诊可疑性N2期肿瘤更有效的方法。
Intraoperatively, a growing body of evidence suggests that lymph node dissection can be performed safely, and should replace sampling as a more effective means of identifying unsuspected N2 disease.
目的探讨腹腔镜腹膜后淋巴结清扫术的手术技术和临床可行性。
Objective To investigate surgical techniques and the clinical feasibility of laparoscopic retroperitoneal lymph node dissection (L-RLND).
胃癌D2根治术加系统性主动脉旁淋巴结清扫术在可治疗胃癌中的临床价值存在争议。
The clinical value of systematic PAND in addition to D2 gastrectomy in curable gastric cancer has been controversial.
对临床淋巴结阳性者，应根据具体情况实施功能或传统性颈淋巴结清扫术。
Functional or classical radical neck lymph node excision should be taken, if the neck lymph node can be palpable.
对胃癌患者行增加主动脉旁淋巴结清扫的D2根治术并不能提高生存率以及减少肿瘤淋巴结转移的可能性。
The addition of PAND did not appear to offer a survival benefit or to reduce the rate of cancer recurrence in the lymph nodes.
另一例采取左侧甲状腺腺叶切除术、气管袖状切除术及左改良根治性颈淋巴结清扫术；
One case underwent left lobar thyroid and circumferential sleeve resection, with left neck modified radical dissection;
结论：多发性颈淋巴结核患者保守治疗无效后施行功能性区域颈淋巴结清扫术，效果明显，优于颈部淋巴结核病灶清除术。
Conclusions: Functional neck dissection is a better surgical approach than traditional regional excision for the treatment of patients with MCTLP after ineffective conservative therapy.
结论：多发性颈淋巴结核患者保守治疗无效后施行功能性区域颈淋巴结清扫术，效果明显，优于颈部淋巴结核病灶清除术。
Conclusions: Functional neck dissection is a better surgical approach than traditional regional excision for the treatment of patients with MCTLP after ineffective conservative therapy.
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