Yoshimura Fumihiro, Uyama Ichiro
Department of Surgery, Fujita Health University, School of Medicine.
Nihon Rinsho. 2012 Oct;70(10):1771-7.
Laparoscopy-assisted gastrectomy has become a popular surgical option, particularly for the treatment of early gastric cancer. A multi-institutional clinical trial has recently demonstrated that satisfactory results have been obtained with the clinical outcomes of laparoscopic gastrectomy for early gastric cacer, which was not inferior to those obtained by a conventional open procedure. However, the indication of laparoscopic gastrectomy for the treatment of patients with advanced gastric cancer has remained controversial. In this paper, we describe the current status of gastric cancer treatment, including lymph node dissection and reconstruction procedures. We also provide future perspectives concerning the robot-assisted laparoscopic gastrectomy for gastric cancer.
腹腔镜辅助胃切除术已成为一种流行的手术选择，尤其是在早期胃癌的治疗方面。一项多机构临床试验最近表明，腹腔镜胃切除术治疗早期胃癌的临床结果令人满意，并不亚于传统开放手术所取得的结果。然而，腹腔镜胃切除术治疗进展期胃癌患者的适应证仍存在争议。在本文中，我们描述了胃癌治疗的现状，包括淋巴结清扫和重建手术。我们还提供了关于机器人辅助腹腔镜胃癌切除术的未来展望。
