早期胃癌腹腔镜功能保留手术与淋巴结清扫规范  

Standard of laparoscopic function-preserving surgery and lymph node dissection for early gastric cancer

作　　者：韦静涛 季鑫[1] 步召德[1] 季加孚[1] Wei Jingtao;Ji Xin;Bu Zhaode;Ji Jiafiu(Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education),Department of Gastrointestinal Cancer Center,Peking Universily Cancer Hospital and Institule,Beijing 100142,China)

机构地区：[1]北京大学肿瘤医院北京市肿瘤防治研究所胃肠肿瘤中心,恶性肿瘤发病机制及转化研究教育部重点实验室,北京100142

出　　处：《中华普外科手术学杂志（电子版）》2023年第4期360-363,共4页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：北京市医院管理中心临床医学发展专项(XMLX202119)。

摘　　要：早期胃癌患者的淋巴结转移率低,预后较好,因此治疗的目标不应仅局限在肿瘤的根治性,更应尽可能保留残胃功能,提高患者术后生活质量。随着胃癌外科的发展,腹腔镜功能保留胃切除手术,逐步应用于早期胃癌。其主要包含两个方面,即胃切除范围的缩小以及淋巴结清扫范围的缩小。结合国内外的经验和指南,在早期胃癌腹腔镜功能保留手术与淋巴结清扫方面形成了一定共识和规范,同时也是早期胃癌领域的研究热点。功能保留的手术理念是胃癌治疗的方向和趋势,我们应该与时俱进,推动胃癌外科规范化、微创化、精准化、个体化发展。Patients with early gastrie cancer have low probability of lymph node metastasis and better prognosis,so the aim of treatment is not only limited to the radical resection of turmor,but also to preserve residual gastric function and improve patients’postoperative quality of life as much as possible.With the developrment of surgery for gastric cancer,laparoscopic function-preserving gastrectomy has been gradually applied to early gastric cancer.It mainly consists of two aspects,namely,the reduction of the range of gastrectomy and the reduction of the extent of lymph node dissection.Combined with domestic and international experiences and guidelines,there has been a certain consensus and standard in laparoscopic function-preserving surgery and lymph node dissection for early gastric cancer,which is also a research hotspot in the field of early gastric cancer.The concept of function-preserving surgery is the direction and trend of early gastric cancer treatment,and we should keep pace with the times to promote the development of standardized,minimally invasive,precise and individualized gastric cancer surgery.

关 键 词：胃肿瘤 功能保留手术 前哨淋巴结 

分 类 号：R735.2[医药卫生—肿瘤]