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한병목(Byeong Mok Han),최성양(Seong Yang Choi),양두현(Doo Hyun Yang) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.3
N/A The CT appearance of dilated hepatic lymphatics in liver transplant recipient.s has been de- scribed recently. We observed similar findings of presumed hepatic periportal lymphedema after curative resection with R,+a node dissection including the lymph node in the hepatoduodenal ligament in advanced gastric cancer. We could find the hepatic periportal lymphedema in 85% of 20 patients on abdominal CT scan taken 7 days after operation and 65 % of 20 patients on abdonminal CT scan taken 6 months after operation. But in the early gas- tric cancer operated by curative resection with R dissection without dissection of lymph node in the hepatoduodenal ligament and ulcer disease without lymph node dissection were not re- vealed hepatic periportal lymphedema. In conclusion, hepatic periportal lyrnphedema on abdominal CT scan after dissection of lymp node in the hepatoduodenal ligament is very useful as a evidence of completeness of dissection of lymph node in the hepatoduodenal ligament and we can predict the metastasis of the lymph node in the hepatoduodenal ligament when hepatic periportal lymphedema appears on abdomi- nal CT scan after R, dissection in the cases of early gastric cancer.(Korean J Gastroenterol 1994; 26: 410 416)