腹腔镜胃癌根治术治疗进展期胃癌的现状与临床研究

Laparoscopic radical gastrectomy in treatment of advanced gas- tric cancer： current status and clinical trials

不同于日、韩等国家，我国胃癌病例大多以进展期胃癌为主。手术根治作为胃癌的主要治疗手段，近年来取得了很大发展，特别是腹腔镜胃癌根治术的发展。然而针对于腹腔镜胃癌根治术应用于进展期胃癌治疗的诸多方面，在国内外仍存在较大争议，特别是在手术适应证、具体术式以及重建方法选择、镜下完成D2淋巴结清扫以及术后的近期疗效与远期肿瘤学疗效等方面。本文回顾了近年来腹腔镜胃癌根治术治疗进展期胃癌全球的应用现状以及报道的相关临床研究结果并进行论述。

Different from Japan and Korea, the gastric cancer cases in China are mostly advanced gastric cancer cases. Surgical radical gastrectomy, as the primary method in treating gastric cancer patients has achieved enormous development in recent years, especially laparoscopic radical gastrectomy. Whereas, laparoscopic radical gastrectomy in treatment of advanced gastric cancer remains controversial. The heated debates are mainly focusing on the indications, choosing of surgical approaches and reconstruction methods, completion of laparoscopic D2 lymphadenectomy, shortterm postoperative outcomes and longterm oncologic effectiveness. In this article, current status of laparoscopic radical gastrectomy in treatment of advanced gastric cancer and results of relevant clinical trials were reviewed.