完整胃系膜切除治疗胃癌的研究进展

The Research Progress of Gastric Cancer from Complete Mesentery Gastric Resection

目前胃癌的主要治疗方式仍是手术治疗,标准D2根治术已得到推广,但胃癌术后的局部复发仍是导致患者远期预后不佳的重要因素。早期胃癌患者的检出率低和手术淋巴结清扫的不规范及胃周软组织切除的不彻底是导致胃癌患者局部复发的重要因素。全直肠系膜切除(TME)和完整结肠系膜切除(CME)对降低结直肠癌术后局部复发效果明显,相同进展程度下远期预后明显好于胃癌。近年提出的完整胃系膜切除治疗胃癌可能会降低胃癌术后局部复发,改善患者预后,规范了完成胃癌根治术的完整流程标准,对于胃癌手术的规范化实施达到整块切除具有指导意义,随着微创理念不断的深入,腹腔镜的应用与发展使我们对系膜的认识更加深入,我们对完整胃系膜切除治疗胃癌的现状及研究进展进行综述如下。

The gastric cancer main treatment is surgery,has promoted standard D2 radical,but the local recurrence after gastric cancer is still an important factor in the long-term prognosis of patients.Early gastri-c cancer patients with low detection rate and the lymph node surgery is not completely soft tissue resection and gastric is one of the important factors in gastric cancer patients with local recurrence.Total mesorectal excision(TME)and complete mesocolic excision(CME)were significantly effective in reducing local recurrence after colorectal cancer,and the long-term prognosis was significantly better than gastric cancer in the same progression.In recent years,the complete mesentery gastric resection treatment of gastric cancer may reduce postoperative local recurrence,to improve the prognosis of patients,to standardizes the complete process,and gastric cancer radical surgery for the standardization of the implementation to achieve the whole block resection has a guiding significance.With the deepening of the concept of minimally invasive constantly,the application and development of laparoscopic makes us more in-depth understanding of mesangial.In this case,we will discuss the normalization of radical surgery of gastric cancer from the perspective of complete mesectomy.