规范程序化胃癌D2根治术在进展期胃癌治疗中的应用价值

Application value of programmed D2 radical gastrectomy for advanced gastric cancer

胃癌是我国恶性肿瘤高发疾病之一，发病率仅次于日本。居全球第2位。我国胃癌病死率是世界平均水平的2倍。这与我国早期胃癌诊断率低，胃癌手术尤其是胃癌D2根治术质量存在较大的地区差异，而手术质量直接影响患者的预后有关。因此，规范进展期胃癌手术治疗是目前的发展趋势及热点。通过规范的进展期胃癌分期、评估，将手术方式、入路、淋巴结清扫及消化道重建程序化，从而提高我国进展期胃癌的远期生存率，降低病死率。

Gastric cancer is one of the high incidence of malignant tumors in China, the incidence of which is in the second among the world and is only inferior to Japan. But the mortality of gastric cancer in China is ？ times of world＇s average level, which is often associated with low early diagnostic rate, big regional differentials in the surgical quantity of gastric cancer （especially D2 radical gastrectomy ） and prognosis of patients influenced by surgical quantity. Therefore, a standardized treat- ment of gastric cancer is the current development trend and hot- spot. The correct and programmed staging, evaluation, operation methods, approaches, lymph node dissection and digestive tract reconstruction are selected, thus improving the long-term survival of patients with advanced gastric cancer and reducing mortality in China.