Kato Keiji, Kiyokawa Takashi, Mori Kazuhiko, Fukuda Takashi, Hatao Fumihiko, Abe Masashi, Ueda Tetsuya, Wada Ikuo, Shimizu Nobuyuki, Nomura Sachiyo, Seto Yasuyuki
Dept. of Gastrointestinal Surgery, University of Tokyo, Bunkyo-ku, Tokyo, Japan.
Gan To Kagaku Ryoho. 2011 Feb;38(2):184-6.
The radical treatment of gastric cancer is complete resection of the tumor by surgery. For advanced gastric cancer, a multidisciplinary approach has been attempted to improve patient prognosis. Potentially resectable and curable advanced gastric cancer is treated with routine surgery, followed by postoperative adjuvant chemotherapy. For highly advanced gastric cancer, extended radical surgery or preoperative adjuvant chemotherapy have been attempted. Laparoscopic gastrectomy for advanced gastric cancer has not been widely used because of the difficult surgical technique involved, but enhanced magnification in the surgical field is expected to improve the accuracy of the lymph node dissection procedure. In future, the significance of currently available treatments should be investigated. The key treatment for advanced gastric cancer at present is surgery.
胃癌的根治性治疗是通过手术完整切除肿瘤。对于进展期胃癌，已尝试采用多学科方法来改善患者预后。潜在可切除且可治愈的进展期胃癌采用常规手术治疗，术后进行辅助化疗。对于高度进展期胃癌，已尝试进行扩大根治性手术或术前辅助化疗。由于涉及的手术技术难度大，进展期胃癌的腹腔镜胃切除术尚未广泛应用，但手术视野放大倍数的提高有望改善淋巴结清扫手术的准确性。未来，应研究现有治疗方法的意义。目前进展期胃癌的关键治疗方法是手术。
