审慎推广胃癌保功能手术的新术式  

Prudent promotion of new surgical techniques for functional preservation of gastric cancer

作　　者：梁盼萍 陈小龙[1] 杨昆[1] Liang Panping;Chen Xiaolong;Yang Kun(Gastric Cancer Center,West China Hospital of Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院胃癌中心,成都610041

出　　处：《中华胃肠外科杂志》2025年第2期139-144,共6页Chinese Journal of Gastrointestinal Surgery

基　　金：四川省科技厅基金(2023YFS0060);四川大学华西医院学科卓越发展1·3·5工程项目(ZYJC21006)。

摘　　要：在全球范围内,胃癌诊疗负担较重。随着内镜技术的发展和公众健康意识的提高,全球范围内早期胃癌的发现率逐渐上升。传统的全胃或远端胃切除术易引发患者术后营养不良和消化障碍等问题,严重影响生活质量。功能保留胃切除术(FPG)是一种在确保根治性切除肿瘤的同时,尽可能减少胃切除范围、并保留胃解剖结构和关键功能的手术方法,在改善患者术后生活质量方面,展现出显著优势。本文阐述了FPG主要术式的适应证及当前面临的挑战,强调审慎推广FPG的必要性,以期提高胃癌患者的治疗效果和生活质量。Gastric cancer has relatively high disease burden worldwide.With the advancement of endoscopic technology and increased public health awareness,the detection rate of early gastric cancer has gradually risen globally.Conventional total or distal gastrectomy frequently results in postoperative complications,including malnutrition and digestive disorders,which can significantly impair the patient's quality of life.Function-preserving gastrectomy(FPG),which aims to minimize the extent of resection and preserve the functional anatomy of the stomach while ensuring radical removal of the tumor,has shown significant advantages in improving postoperative quality of life.This review summarizes the indications for various FPG techniques and the challenges currently faced,emphasizing the necessity of cautious promotion of FPG to improve treatment outcomes and the quality of life for patients with gastric cancer.

关 键 词：胃肿瘤 功能保留 胃切除术 

分 类 号：R73[医药卫生—肿瘤]