胃保功能手术方式的选择  

Choice of function-preserving gastrectomy

作　　者：鲍添赏 徐佳[1] 赵刚[1] Bao Tianshang;Xu Jia;Zhao Gang(Department of Gastrointestinal Surgery,Renji Hospital,Shanghai Jiaotong University,Shanghai 200001,China)

机构地区：[1]上海交通大学附属仁济医院胃肠外科,200001

出　　处：《中华胃肠外科杂志》2021年第5期387-391,共5页Chinese Journal of Gastrointestinal Surgery

摘　　要：随着早期胃癌诊断率的逐年上升,如何在达到肿瘤根治前提下,更好地保留胃的解剖结构和生理功能,并改善患者术后生活质量,已成为目前早期胃癌治疗关注的热点。因此,胃保功能手术应是早期胃癌手术治疗的趋势。胃保功能手术并不是单纯胃的缩小手术,是将手术技术改良与保功能治疗理念更完美地结合,而不单纯局限于传统外科治疗手段。目前,常规开展的胃保功能手术主要包括保留幽门的胃节段切除、近端胃切除及与内镜联合的胃局部切除术。随着对胃癌转移规律的深入理解,以及微创治疗技术的发展普及,双镜下的前哨淋巴结导航及胃局部切除联合手术在早期胃癌治疗中的应用前景值得期待。As the diagnosis rate of early gastric cancer is increasing annually,the current hot spot in the treatment of early gastric cancer is how to better preserve the anatomical structure and physiological function of the stomach and improve the quality of life of patients after surgery under the premise of tumor eradication.Therefore,function-preserving gastrectomy has been the trend of surgical treatment for early gastric cancer.It is not just a modified gastrectomy,but a better combination of improved surgical techniques and the concept of function-preserving treatment,rather than being limited to traditional surgical treatments.Currently,the routine function-preserving gastrectomy mainly includes pylorus-preserving gastrectomy,proximal gastrectomy and partial gastrectomy combined with endoscopy.In addition,with the deeper understanding of metastasis pattern of gastric cancer and the development and popularization of minimally invasive techniques,laparoscopic and endoscopic cooperative surgery is gradually gaining attention.The application of laparoscopic and endoscopic hybrid surgery combined with sentinel lymph node navigation is anticipated in the treatment of early gastric cancer.

关 键 词：胃肿瘤 早期 胃保功能手术 腹腔镜-胃镜联合手术治疗 前哨淋巴结导航手术 

分 类 号：R735.2[医药卫生—肿瘤]