Günther B
Chirurgische Klinik und Poliklinik, Ludwig-Maximilians-Universität München, Klinikum Grosshadern.
Langenbecks Arch Chir. 1987;372:593-7. doi: 10.1007/BF01297888.
Procedure of choice in the treatment of gastric cancer is total gastrectomy and radical lymphadenectomy. Despite an improvement of long-term results concerning localization, depth of infiltration, lymph node metastasis and histological type of tumor according to Laurén the main determinant of late results is the stage of disease. Suggestions for treatment of cancers on the oesophagogastric junction cannot yet be given. Despite possible advantages of preservation of the spleen for the early result, the impact on late results remains unclear.
胃癌治疗的首选方法是全胃切除术和根治性淋巴结清扫术。尽管根据劳伦分类法,在肿瘤的定位、浸润深度、淋巴结转移和组织学类型方面长期结果有所改善,但晚期结果的主要决定因素是疾病分期。目前尚无法给出食管胃交界部癌症的治疗建议。尽管保留脾脏对早期结果可能有优势,但其对晚期结果的影响仍不明确。