Hu Yinin, Yoon Sam S
Division of General and Oncologic Surgery, Department of Surgery, University of Maryland Baltimore, Baltimore, MD, USA.
Division of Surgical Oncology, Department of Surgery, Columbia University Irving Medical Center, New York, NY, USA.
Surg Oncol. 2022 Mar;40:101689. doi: 10.1016/j.suronc.2021.101689. Epub 2021 Nov 24.
Gastric adenocarcinoma is one of the most common and lethal cancers worldwide and is associated with a high frequency of nodal metastasis. The value of multimodality therapy is well-established, but gastric resection and locoregional lymph node dissection are important mainstays in potentially curative therapy. However, there has been considerable regional variation in surgical approach and debate regarding the ideal extent of gastric resection, gastric reconstruction, and extent of lymphadenectomy. This chapter outlines the current evidence in the surgical management of gastric adenocarcinoma. The advent of minimally invasive approaches to gastric operations is also discussed.
胃腺癌是全球最常见且致命的癌症之一，并且与高频率的淋巴结转移相关。多模式治疗的价值已得到充分证实，但胃切除术和局部区域淋巴结清扫术是潜在治愈性治疗的重要支柱。然而，在手术方式上存在相当大的地区差异，关于胃切除的理想范围、胃重建以及淋巴结清扫范围也存在争议。本章概述了胃腺癌外科治疗的当前证据。还讨论了胃手术微创方法的出现。
