Department of Abdominal Surgery, Cancer Hospital, Fudan University, Shanghai, China.
J Surg Oncol. 2010 Jun 15;101(8):687-92. doi: 10.1002/jso.21455.
During the past decades, despite considerable improvements in the management of gastric cancer, surgery remains the main curative treatment. However, there is still debate about the extent of gastrectomy and lymphadenectomy, multivisceral resection, the requirement for reoperation for specimens with positive margins, the selection of neoadjuvant treatment and the management strategy of early gastric cancer. This review is to evaluate the above issues based on the reported prospective and retrospective studies.
在过去的几十年中,尽管胃癌的治疗有了相当大的改进,但手术仍然是主要的治愈性治疗方法。然而,关于胃切除术和淋巴结清扫术的范围、多脏器切除术、阳性切缘标本再次手术的必要性、新辅助治疗的选择以及早期胃癌的治疗策略等问题仍存在争议。本综述旨在根据已发表的前瞻性和回顾性研究来评估上述问题。