Costantino Christina L, Mullen John T
Department of Surgery, Massachusetts General Hospital, GRB-425, 55 Fruit Street, Boston, MA 02114, USA.
Department of Surgery, Massachusetts General Hospital, Yawkey Center for Outpatient Care, 32 Fruit Street, YAW-7-7926, Boston, MA 02114, USA.
Surg Oncol Clin N Am. 2019 Apr;28(2):201-213. doi: 10.1016/j.soc.2018.11.007. Epub 2018 Dec 24.
Minimally invasive surgical approaches to the treatment of gastric cancer have become increasingly common as more data have demonstrated the safety, feasibility, and oncologic equivalency of such approaches compared with conventional open gastrectomy. East Asia has produced the majority of these data, encouraging Western high-volume centers to expand their application of minimally invasive techniques to patients despite more advanced tumor stages at presentation and a lower volume of cases. More randomized, controlled trials and longer term outcome data are necessary to definitively establish the superiority of minimally invasive gastrectomy to open gastrectomy for the treatment of gastric cancer.
随着越来越多的数据表明，与传统开放胃切除术相比，微创外科手术治疗胃癌的方法具有安全性、可行性和肿瘤学等效性，这种治疗方法已变得越来越普遍。东亚产生了大部分此类数据，这促使西方的大型医疗中心将微创技术应用于患者，尽管这些患者在就诊时肿瘤分期更晚且病例数量较少。需要更多的随机对照试验和长期结果数据，以明确确立微创胃切除术在治疗胃癌方面优于开放胃切除术。
