Kim Sang Gyun
Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2009 Aug;54(2):77-82. doi: 10.4166/kjg.2009.54.2.77.
As the proportion of early gastric cancer has been increasing with national cancer screening program, endoscopic treatment for early gastric cancer has been expanded with the progress of endoscopic technique and accessories. Recently, expanded indication of endoscopic resection for early gastric cancer has been proposed with technical and instrumental advances. Although endoscopic complete resection rate has been improved, critical evaluation should be made for appropriate indication of endoscopic resection in terms of risk of occult metastasis. Recent advances of normal orifice transluminal endoscopic surgery (NOTES) might be a future solution including regional lymph node dissection.
随着国家癌症筛查项目的开展，早期胃癌的比例不断增加，随着内镜技术和附件的进步，早期胃癌的内镜治疗也得到了扩展。近年来，随着技术和器械的进步，早期胃癌内镜切除的适应证有所扩大。尽管内镜完全切除率有所提高，但应从隐匿性转移风险的角度对内镜切除的合适适应证进行严格评估。经自然腔道内镜手术（NOTES）的最新进展可能是包括区域淋巴结清扫在内的未来解决方案。
