《中国胃癌保功能手术外科专家共识(2025版)》更新要点解读  

Interpretation of Chinese expert consensus on function ‐ preserving grstrectomy for gastriccancer(2025 edition)

作　　者：陆俊 刘凤林 Lu Jun;Liu Fenglin(Second Department of Gastric Surgery,Fudan University Shanghai Cancer Center,Shanghai 200032,China)

机构地区：[1]复旦大学附属肿瘤医院胃外二科,上海200032

出　　处：《中华胃肠外科杂志》2025年第2期121-126,共6页Chinese Journal of Gastrointestinal Surgery

摘　　要：胃癌是我国最常见的恶性肿瘤之一。随着医学技术的不断进步、早期胃癌的检出率逐年提高以及医患双方对术后生活质量关注度的显著提升, 胃保功能手术(FPG)应运而生。2021年5月, 《中国胃癌保功能手术外科专家共识(2021年版)》(以下称为《共识》)首次在国内系统性地阐释了FPG的定义、适应证及手术方式等核心内容, 有效地推动了FPG在国内的规范化开展。近年来, 功能可视化、淋巴结示踪、血管导航和人工智能等为代表的新兴技术快速发展, FPG的理念和实践也在不断演进。同时, 相关临床研究结果的发布也为FPG关键治疗策略上的选择提供了高级别证据。在此背景下, 我们组织本领域的部分知名专家, 结合近年来的重要研究进展和临床实践更新完善了本《共识》, 并形成了13项推荐意见, 进一步提高了其临床实践指导价值。本文主要针对修订后的《共识》推荐陈述进行解读。With continuous advancements in medical technology,the increasing detection rate of early gastric cancer,and the growing emphasis on postoperative quality of life among both patients and physicians,function-preserving gastrectomy(FPG)has emerged as a critical surgical approach.In May 2021,the publication of Chinese expert consensus on function-preserving gastrectomy for gastric cancer(2021)"(hereafter referred to as the"Consensus")marked the first systematic elaboration of the definition,indications,and surgical techniques of FPG in China,thereby facilitating its standardized implementation nationwide.In recent years,the rapid evolution of emerging technologies such as functional visualization,lymph node mapping,vascular navigation,and artificial intelligence has further refined the conceptual framework and clinical applications of FPG.Concurrently,the release of pivotal clinical research findings has provided high-level evidence to inform key therapeutic strategies within FPG.Against this backdrop,we convened a panel of leading experts in the field to update and expand the"Consensus"by integrating recent advancements in research and clinical practice.The revised version includes 13 specific recommendations,further enhancing its value as a practical guide for clinical decision-making.This article aims to provide an in-depth interpretation of the updated recommendations outlined in the revised "Consensus."

关 键 词：胃肿瘤 早期 胃功能保留手术 生活质量 

分 类 号：R735.2[医药卫生—肿瘤]