胃癌腹膜转移的外科诊治观

Diagnosis and surgical treatment of peritoneal metastasis of gastric cancer

随着诊断性腹腔镜的普及、晚期胃癌转化治疗概念的兴起,以及腹腔化疗港、腹腔热灌注化疗等技术的应用,胃癌腹膜转移的诊断与治疗取得新的进展。然而,胃癌腹膜转移预后差,治疗依旧缺乏高级别证据,在实践过程中应注意规范化诊断与评效,在患者筛选、手术指征、术后化疗等重要问题上进行多学科讨论决策。药物治疗的进展仍是未来提高胃癌腹膜转移预后的关键。

With the prevalence of diagnostic laparoscopy,the concept of conversion therapy in unresectable gastric cancer,as well as the technical application of port implantation and hyperthermic intraperitoneal chemotherapy,new progress has been made in the area of gastric cancer peritoneal metastasis.However,the prognosis for peritoneal metastasis of gastric cancer remains extremely poor,and surgical treatment still lacks high-level evidence.Surgeons should pay attention to standardized diagnosis and evaluation during medical practice,and should conduct multidisciplinary discussions on important issues,such as patient screening,surgical indications,and postoperative chemotherapy.The progress of drug therapy is still the key to improve the prognosis of gastric cancer peritoneal metastasis in the future.