早期胃癌的治疗现状与进展  

Status and Progress of Treatment of Early Gastric Cancer

作　　者：陈晓宇[1] 黄陈[1] 裘正军[1] 

机构地区：[1]上海交通大学附属第一人民医院普外科,上海200080

出　　处：《现代生物医学进展》2015年第12期2352-2354,共3页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81101844;81210108027);上海市人才发展资金项目(2012040);上海市浦江人才计划项目(13PJD024);上海市卫生局新优青人才计划(XYQ2013092);上海交通大学晨星青年学者项目

摘　　要：胃癌是常见的消化道肿瘤之一,是我国死亡率最高的恶性肿瘤之一。与日本韩国等发达国家相比,我国胃癌患者多数在就诊时已处于进展期,早期胃癌所占比例不足10%。传统的开腹胃癌手术仍是治疗早期胃癌的主要手段。相较于传统开腹手术,腹腔镜手术对于早期胃癌的治疗优势是显而易见的。早期胃癌患者行腹腔镜手术,具有术后恢复快,生活质量好,近期疗效佳等优势。内镜黏膜下剥离术(ESD,endoscopic submucosal dissection)是近年来出现的一项新的治疗早期胃癌的手段。本文就传统开腹手术、腹腔镜手术及ESD分别在早期胃癌治疗中的应用进行了综述。微创手术治疗早期胃癌将逐渐代替开腹手术,成为早期胃癌治疗的主要手段。Gastric cancer is one of the common gastrointestinal cancers, and is one of the highest mortality cancers in China. Compared with in developed countries such as Japan or South Korea, most patients with gastric cancer in China have an advanced diagnostic during treatment. The diagnosis of early gastric cancer is less than 10%. Traditional open surgery of gastric cancer is still the primary means of treatment of early gastric cancer. Laparoscopic surgery has an obvious advantage in early gastric cancer treatment. Patients with early gastric cancer have faster recovery and better quality of life after laparoscopic surgery. Endoscopic submucosal dissection appears as a new means of treatment of early gastric cancer in the recent years. In this paper, the traditional open surger, laparoscopic surgery and ESD applied in the treatment of early gastic cancer were reviewed. Minimally invasive surgery for early gastric cancer will gradually replace the open surgery and become the primary means of early gastric cancer treatment.

关 键 词：早期胃癌 腹腔镜手术 ESD 

分 类 号：R735.2[医药卫生—肿瘤]