Kulig Jan, Wallner Grzegorz, Drews Michał, Frączek Mariusz, Jeziorski Arkadiusz, Kielan Wojciech, Kołodziejczyk Piotr, Nasierowska-Guttmejer Anna, Starzyńska Teresa, Zinkiewicz Krzysztof, Wojtukiewicz Marek, Skoczylas W Tomasz, Richter Piotr, Krawczyk Marek
1st Department of General Surgery and Clinic of General Surgery, Oncological Surgery and Gastroenterological Surgery, Jagiellonian University Medical College in Cracow, Poland.
2nd Department and Clinic of General, Gastroenterological and Gastrointestinal Cancer Surgery, Medical University in Lublin, Poland.
Pol Przegl Chir. 2017 Oct 31;89(5):59-73. doi: 10.5604/01.3001.0010.5413.
The "Polish Research on Gastric Cancer" project has been continued since 1986. The main aim of this project, which is a multicenter and interdisciplinary research, is enhancing the treatment results of gastric cancer patients by developing and promoting the use of optimal methods for diagnosis and treatment, both surgical as well as combined. One of the more important achievements of the project is the development and publication of a document named "Polish Consensus on Treatment of Patients with Gastric Cancer", whose first version was published in 1998. Following versions were updated adequately to changing trends in the proceedings in patients with gastric cancer. A scientific symposium on "Polish Consensus on Treatment of Gastric Cancer - update 2016" was held in 3-4 June 2016 in Cracow. During the symposium a panel session was held during which all authors publicly presented the Consensus assumptions to be discussed further. Moreover, the already mentioned session was preceded by a correspondence as well as a working meeting in order to consolidate the position. It has to be underlined that the directions and guidelines included in the Consensus are not the arbitrarily assumed rules of conduct in a legal aspect and as such every doctor/team of doctors is entitled to make different decisions as long as they are beneficial to a patient with gastric cancer. The Consensus discusses as follows: a) recommended qualifications (stage of advancement, pathological, lymph node topography and the extent of lymphadenectomy, division of cancer of the gastroesophageal junction), b) rules for diagnostics including recommendations regarding endoscopic examination and clinical evaluation of the advancement stage, c) recommendations regarding surgical treatment (extent of resection, extent of lymphadenectomy, tactics of proceedings in cancer of the gastroesophageal junction), d) recommendations regarding combined treatment with chemotherapy or radiotherapy, e) place of endoscopic and less invasive surgery in the treatment of gastric cancer. This publication is a summary of the arrangements made in the panel session during the abovementioned scientific symposium in Cracow in 2016.
“波兰胃癌研究”项目自1986年起一直在持续进行。该项目是一项多中心、跨学科研究，其主要目标是通过开发和推广最佳诊断与治疗方法（包括手术及综合治疗方法）来提高胃癌患者的治疗效果。该项目较为重要的一项成果是制定并发布了一份名为《波兰胃癌患者治疗共识》的文件，其第一版于1998年发布。后续版本根据胃癌治疗领域不断变化的趋势进行了适当更新。2016年6月3日至4日在克拉科夫举办了一场关于“波兰胃癌治疗共识——2016年更新版”的科学研讨会。在研讨会上举行了一场小组会议，期间所有作者公开介绍了有待进一步讨论的共识假设。此外，在上述会议之前还进行了通信交流以及工作会议，以巩固立场。必须强调的是，共识中包含的方向和指南在法律层面并非随意设定的行为规则，因此，每位医生/医生团队只要做出的决定对胃癌患者有益，就有权做出不同的决策。该共识讨论的内容如下：a）推荐的资格条件（进展阶段、病理、淋巴结分布及淋巴结清扫范围、胃食管交界癌的分类），b）诊断规则，包括关于内镜检查和进展期临床评估的建议，c）手术治疗建议（切除范围、淋巴结清扫范围、胃食管交界癌的治疗策略），d）化疗或放疗联合治疗的建议，e）内镜手术和微创外科手术在胃癌治疗中的地位。本出版物是对2016年在克拉科夫举行的上述科学研讨会上小组会议所做安排的总结。
