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胃癌的外科治疗与微创理念 被引量:3

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摘要 胃癌是最常见的消化道恶性肿瘤之一,据美国癌症协会统计,2008年全世界新发胃癌98.96万例,居癌症发病第4位。近年来,尽管化疗、放疗、分子靶向治疗等内科治疗手段飞跃发展,手术仍然是胃癌患者获得治愈的主要方法。近20年来,随着内镜、腹腔镜及达·芬奇机器人等微创外科技术的进步,微创理念逐渐深入外科治疗的各个领域,在某种程度有替代传统开腹手术的趋势。微创治疗的优势不仅确保了胃癌外科治疗的根治性,而且可将手术创伤最小化及术后生命质量最大化。目前胃癌常用的微创外科治疗方法包括:内镜治疗、腹腔镜手术、达·芬奇机器人辅助手术等。但对于个体化的患者,是否适合微创治疗以及适合哪种微创治疗,常需多个学科专家共同讨论,而其中外科医生是否具有微创理念及其对相关循证医学证据的掌握程度,决定了患者的最终治疗是否科学。本文将胃癌分为早期和进展期分别对胃癌的各种微创外科治疗方法进行回顾和论述,旨在基于循证医学证据与同道共同探讨胃癌的微创外科治疗理念,使我国胃癌微创外科治疗方法的选择更加规范。
出处 《中国医刊》 CAS 2014年第9期13-16,共4页 Chinese Journal of Medicine
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  • 1Tanabe S, Koizumi W, Mitomi H, et al. Clinical outcome of endoscop- ic aspiration mucosectomy for early stage gastric cancer[ J ]. Gastroi- ntest Endosc ,2002, 56 ( 5 ) :708-713.
  • 2Japanese Gastric Cancer Association. Japanese gastric cancer treat- rnent guidelines 2010 ( vet. 3 ) [ J ]. Gastric Cancer, 2011,14 ( 2 ) : 113-123.
  • 3Gotoda T, Yanagisawa A, Sasako M, et al. Incidence of lymph node metastasis from early gastric cancer: estimation with a large number of cases at two large centers [ J 3. Gastric Cancer, 2000,3 (4) :219 -225.
  • 4Isomoto H, Shikuwa S, Yamaquchi N, et al. Endoscopic Submucosal dissection for early gastric cancer:a large-scale feasibility study[ J ]. Gut ,2009,58 (3) :331-336.
  • 5Okada K,Fujisaki J, Yoshida T, et al. Long-term outcomes of endo- scopic submucosal dissection for undifferentiated-type early gastric cancer [ J ]. Endoscopy,2012, 44 ( 2 ) : 122-127.
  • 6Abe S, Oda L, Suzuki H, et al. Short and long term outcomes of endo- scopic submueosal dissection for undifferentiated early gastric cancer [J]. Endoscopy,2013,45(9) :703-707.
  • 7An JY,Heo GU, Cheong JH, et al. Assessment of open versus lapa- roscopy-assisted gastreetomy in lymph node-positive early gastric cancer: a retrospective cohort analysis [ J ]. J Surg Oncol, 2010,102 ( 1 ) :77-78.
  • 8Kitano S, Shiraish N, Uyarna I, et al. A multicenter study on oncolog- ic outcome of laparoseopie gastrectomy for early cancer in Japan [ J ]. Ann Surg,2007,245 ( 1 ) :68-72.
  • 9Kim HH, Hyung W J, Cho GS, et al. Morbidity and mortality of lapa- roscopic gastreetomy versus open gastrectomy for gastric cancer: an interim report-a phase 1 muhicenter, prospective, randomized Tri- M( KLASS Trial) [J]. Ann Surg,2010,251 (3) :417-420.
  • 10Hyun MH, Lee CH, Kim H J, et al, Systematic review and recta-analy- sis of robotic surgery compared with conventional laparoscopic and open resections for gastric carcinoma[J]. Br J Surg,2013,100(12) :1566-1578.

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