摘要
早期胃癌有其独特的行为特点,治疗的诸多方面都存在争议与共识。既往早期胃癌治疗以传统追求肿瘤根治的开腹标准胃切除和淋巴结清扫手术为主。近年来,随着我国早期胃癌检出率的提高以及外科手术器材的进步,针对早期胃癌所实施的外科治疗逐步转变为以内镜及腹腔镜机器人为代表的微创手术,以及在肿瘤根治条件下最大限度地保留胃的正常解剖和生理功能以改善治疗后病人生活质量的功能保留性胃切除术。早期胃癌的治疗模式呈现多学科化、精准化特点,对符合适应证的早期胃癌病人,内镜治疗是首选,其微创优势更加明显。对于非内镜治疗适应证的病人,内镜与腹腔镜的双镜联合手术是未来的发展方向。
Early gastric cancer has its unique behavioral char-acteristics,and there are controversies and consensus in manyaspects of treatment.In the past,the treatment of early gastriccancer was based on the traditional open standard gastrectomyand lymph node dissection.In recent years,with the improve-ment of detection rate of early gastric cancer and the advance-ment of surgical equipment in China.The surgical treatmentfor early gastric cancer has gradually changed to minimally in-vasive surgery represented by endoscopy and laparoscopic orrobot,and functional gastrectomy with preserving normal ana-tomical and physiological functions of the stomach to improvethe quality of life of patients after radical treatment.The treat-ment mode of early gastric cancer is multidisciplinary and ac-curate.Endoscopic treatment is the first choice for patientswith early gastric cancer,and its minimally invasive advantageis more obvious.For non-endoscopic patients,endoscopic andlaparoscopic co-oprative surgery is the future direction of de-velopment.
作者
梁寒
张李
LIANG Han;ZHANG Li(Department of Gastric Cancer. Tianjin Medical University Cancer Institute and Hospital,ational Clinical Research Center of Cancer,Key Laboratory of Cancer Prevention and Therapy,Tianjin300060,China)
出处
《中国实用外科杂志》
CSCD
北大核心
2019年第5期424-427,共4页
Chinese Journal of Practical Surgery
基金
国家自然科学基金资助项目(No.81572372)
重大慢性非传染性疾病防控研究项目(No.2016YFC1303202)
国家重点研发计划"精准医学研究"计划项目(No.2017YFC0908300)
天津市应用基础与前沿技术研究计划项目(No.15JCYBJC24800)
天津市教委科研计划项目(No.2018KJ015)
关键词
早期胃癌
胃切除术
内镜
腹腔镜
early gastric cancer
gastrectomy
endoscopy
laparoscopy
