Saadati K, Moghimi M, Baba Ali S, Eghdam Zamiri R
Department of Surgery, Mousavi Hospital, Zanjan, Iran.
Department of Hematology Valiasr Hospital-Zanjan, Iran.
J Med Life. 2015;8(Spec Iss 4):186-188.
The optimal management of locally gastric cancer persists a matter of intense discussion. Frequently cases with esophagogastric cancer are handled with preoperative chemotherapy [the more typical European method] or mixed chemoradiotherapy. The present research examines a comparison of overall retention and disease-free retention among gastric cancer cases managed via two Adjuvant and Neoadjuvant methods. We showed the features of quick gastric neoplasms operated by ESD. This research showed that ESD for quick gastric neoplasms is a typical approach since the en bloc and curative resection percentages are very high, and residual infection or recurrence is limited. Nevertheless, we further demonstrated that the obstacles connected to this method are the long method time and comparatively high rates of procedure-related developments. We should explore methods to reduce the method time and reduce these difficulties.
局部胃癌的最佳管理一直是激烈讨论的话题。食管癌和胃癌病例通常采用术前化疗(更典型的欧洲方法)或放化疗联合治疗。本研究比较了通过两种辅助和新辅助方法治疗的胃癌病例的总生存率和无病生存率。我们展示了通过内镜黏膜下剥离术(ESD)治疗的早期胃癌的特点。本研究表明,ESD治疗早期胃癌是一种典型的方法,因为整块切除率和根治性切除率非常高,残余感染或复发有限。然而,我们进一步证明,与该方法相关的障碍是手术时间长和手术相关并发症发生率相对较高。我们应该探索减少手术时间和降低这些困难的方法。