早期胃癌的外科治疗策略

Strategies of Surgical Therapy for Early Gastric Cancer

胃癌根治术目前仍为绝大多数胃癌患者的主要治疗手段。在我国,大多数胃癌患者确诊时已处于进展期,进展期胃癌外科治疗目前已趋于规范。然而,早期胃癌的治疗策略及外科治疗方式的选择,以及实施过程中仍存在诸多问题。规范化治疗是影响胃癌患者预后的重要因素,临床医生应根据个体化治疗原则,为患者选择最佳的临床治疗策略。本文重点探讨早期胃癌的类型及生物学意义、内镜治疗策略、外科治疗策略、手术适应证把握、术后随访策略等相关问题。

Radical resection is still the main therapy method for most of gastric cancer patients nowadays. Most gastric cancer patients were diagnosed with advanced stage in China, and the surgical therapy for these patients nearly becomes the standard strategy. However, for early gastric cancer, there are still many problems of therapeutic strategy and selection of surgical therapy, as well as the period of surgery. Standard therapy is an important factors associated with prognosis and it is necessary for clinicians to make the best clinical therapy strategy for gastric patients, according to individualization. In this article, we mainly focus on the investigations of types, biology significance, therapeutic endoscopy, the surgical strategy, surgical indications and postoperative follow-ups for patients with early gastric cancer.