Giacopuzzi Simone, Bencivenga Maria, Cipollari Chiara, Weindelmayer Jacopo, de Manzoni Giovanni
General and Upper GI Surgery Division, Department of Surgery, University of Verona, Verona, Italy.
Transl Gastroenterol Hepatol. 2017 Apr 7;2:28. doi: 10.21037/tgh.2017.03.09. eCollection 2017.
According to the more recent European guidelines, the D2 lymphadenectomy is considered the standard for curative intent treatment of patients with gastric cancer. Although, the surgical definition of D2 dissection and its technical aspects had been learned from Eastern surgeons in the past decades, some variations in the approach to D2 lymphadenectomy by European surgeons were detectable in randomized clinical trials dealing with lymphadenectomy. Despite in more recent years an improvement in surgical quality has been reported in European series, some differences in the practice of D2 dissection are thought to persist. As, these may contribute to discrepancies in gastric cancer survival observed across European countries, the standardization of surgical quality is an urgent need to improve the outcome of gastric cancer patients in Europe. In this manuscript, we focus on the technical aspects of the D2 dissection both in open and laparoscopic gastrectomy in order to contribute to the improvement of surgical care of gastric cancer in the West.
根据最新的欧洲指南，D2淋巴结清扫术被视为胃癌患者根治性治疗的标准。尽管在过去几十年里，D2清扫术的手术定义及其技术细节是从东方外科医生那里学到的，但在涉及淋巴结清扫术的随机临床试验中，可以发现欧洲外科医生在D2淋巴结清扫术的方法上存在一些差异。尽管近年来欧洲的系列报道显示手术质量有所提高，但D2清扫术的实践中仍存在一些差异。由于这些差异可能导致欧洲各国胃癌生存率的差异，手术质量的标准化是改善欧洲胃癌患者治疗效果的迫切需要。在本手稿中，我们重点关注开放和腹腔镜胃切除术中D2清扫术的技术细节，以便为改善西方胃癌的外科治疗做出贡献。
