胃全系膜切除在胃癌根治性手术中的应用进展

Updates in the management of en-bloc mesogastric excision applied to radical resections for gastric cancer

胃癌D2根治术是目前被广泛认可治疗可切除性胃癌的手术方式。然而，D2根治术后肿瘤复发、5年生存率等情况并不理想；提示目前的手术方式可能有进一步完善的空间。胃全系膜切除（EME）便是新的尝试之一，是基于对胃系膜在胚胎学和解剖学上的认识而提出的胃癌根治性手术的新概念。

D2 radical gastrectomy is widely accepted as surgical procedures for the resectable gastric cancer. However, cancer recurrence and five-year survival rate after radical resection are not satisfactory, and the surgical procedures should be further improved. En bloc mesogastric excision （EME） is one of the new attempts to change the status based on the embryoloieal and anatomical understanding of mesogastrium.