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对《“神圣平面”的胃脏等效物:将胃癌手术概念标准化为胃系膜切除:更新Jamieson和Dobson的历史模式》的评论,作者:Hisashi Shinohara等人,发表于《胃癌》杂志,2021年1月2日

Comment on:"Gastric equivalent of the 'Holy Plane' to standardize the surgical concept of stomach cancer to mesogastric excision: updating Jamieson and Dobson's historic schema," Gastric cancer, 2021 Jan 2, by Hisashi Shinohara et al.

作者信息

Huang Zhiping, Zhang Wei

机构信息

Department of Gastric Surgery, Chongqing University Three Gorges Hospital, Wanzhou, Chongqing, 404000, China.

出版信息

Gastric Cancer. 2025 Jun 28. doi: 10.1007/s10120-025-01638-2.

Abstract

Over the past three decades, the implementation of the complete mesocolic excision (CME)/total mesorectal excision (TME) technique in colorectal cancer surgery has significantly reduced local recurrence rates and improved tumor-related survival outcomes. However, due to the morphological complexities of the gastric mesentery and its presence is still controversy, the concept of mesogastric excision(MGE) has yet to gain widespread acceptance in gastric cancer surgery. Nowadays, surgeons have begun to identify a dissectible loose connective-tissue layer between the lymph nodes and landmark structures through magnified images obtained during laparoscopic or robotic gastrectomy. We agree with the authors that MGE serves as a standardized concept in gastric cancer surgery.

摘要

在过去三十年中,全结肠系膜切除术(CME)/全直肠系膜切除术(TME)技术在结直肠癌手术中的应用显著降低了局部复发率,并改善了肿瘤相关的生存结果。然而,由于胃系膜的形态复杂性以及其存在仍存在争议,胃系膜切除术(MGE)的概念在胃癌手术中尚未得到广泛认可。如今,外科医生已开始通过腹腔镜或机器人胃癌手术中获得的放大图像,识别淋巴结与标志性结构之间可分离的疏松结缔组织层。我们同意作者的观点,即MGE是胃癌手术中的一个标准化概念。

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