胃癌手术距离原发癌灶的近端切除范围  

Proximal Resection Margin in Gastric Cancer Resection Procedures

作　　者：邱轶伟[1] 逯宁[1] 

机构地区：[1]天津医科大学总医院普通外科,天津300052

出　　处：《医学综述》2014年第20期3710-3712,共3页Medical Recapitulate

摘　　要：由于目前对于胃癌手术的近端切除范围长期存有争议,不同研究学者所建议的切除范围不尽相同,但对距离肿瘤的有效切除范围已有基本共识,即早期胃癌2～3 cm,进展期胃癌5～6cm.如果术后病理证实切缘残端无癌细胞浸润,即使术中的切除范围小于上述范围也无碍患者生存.所以,在保证切缘残端无癌浸润的前提下,不必强行限定切除范围,既可以降低手术范围,又可以提高患者的生存质量.该综述旨在总结近年来本领域内的最新进展,总结经验.There has been controversy on an adequate length of proximal resection margin （PRM） and its related issues.Therefore,the objective of this review is to summarize the recent progress and experience in the field.The suggestions given by different scholars are not totally identical,though consensus has been reached with regards to the effective resection scope：early stage 2-3 cm,progressive stage 5-6 cm.Once the margin is confirmed to be clear in postoperative pathologic examination,the value of RPM does not affect the patient＇s survival,even when it is shorter than the recommended ones.In order to minimize the extent of surgery and offer a better quality of life to more patients,it is imperative to develop and improve the intraoperative methods to confirm a negative resection margin.Here is to make a review of the most recent advance in the field and summarize the experience.

关 键 词：胃癌 癌浸润 切除范围 

分 类 号：R615[医药卫生—外科学]