胃癌根治术后标本规范化外科处理的现状及进展

Current status and progress in the standardized surgical management of specimens after radical gastric cancer surgery

胃癌根治术后标本规范化外科处理是胃癌规范化诊疗的重要环节。其能反映标本中淋巴结的准确数目和详细分布,为术后精准、规范的病理报告奠定基础;同时可以评估出术中清扫淋巴结的范围、切缘的安全性、手术是否规范(是否执行en bloc整块清扫原则)等,是手术质量控制的重要手段,也能为后期相关研究提供精准的研究样本,而且还是年轻外科医师临床技能训练的重要途径。胃癌术后标本的外科处理需要规范的内容包括标本处理人员、处理流程、切缘送检、淋巴结分拣、标本剖开后的测量、生物标本的留取、记录数据的保存等。推广胃癌根治术后标本规范化外科处理,可促进广大医疗机构胃癌外科诊疗同质化,进一步推动我国胃癌外科高质量发展。

Standardized surgical management of postoperative specimens of gastric cancer is an important part of the standardized diagnosis and treatment of gastric cancer.It can reflect the accurate number and detailed distribution of lymph nodes in the specimen and lay the foundation for accurate and standardized pathological reports after surgery.Meanwhile,it can evaluate the scope of intraoperative lymph node dissection,the safety of cutting edge,and the standardization of surgery(principle of en⁃bloc dissection),which is an important means of surgical quality control.It also provides accurate research samples for further research and is an important way for young surgeons to train their clinical skills.The surgical management of postoperative specimens for gastric cancer needs to be standardized,including specimen processing personnel,processing flow,resection margin examination,lymph node sorting,measurement after specimen dissection,storage of biological specimens,documentation of recorded data,etc.The promotion of standardized surgical management of specimens after radical gastrectomy can promote the homogenization of gastric cancer surgical diagnosis and treatment in medical institutions and further promote the high⁃quality development of gastric cancer surgery in China.