胃癌的外科治疗方式研究

Surgical treatment research of gastric cancer

胃癌是常见的恶性肿瘤之一,以极高的发病率和病死率严重威胁着人们的生命健康。以手术为核心的综合治疗是治疗胃癌的最主要手段。随着外科理念和科学技术的发展,以及大量高水平临床研究的开展,胃癌的治疗取得了长足进展,手术方式也从开腹手术向微创手术方式逐渐转变。早期胃癌的研究重点主要向保留正常功能、减少手术创伤发展。进展期胃癌的淋巴结清扫范围也达成了共识,微创手术在安全性和有效性上也取得了一定的成绩。对于仅有1个不可治愈因素存在的晚期胃癌患者,积极进行外科治疗也可获得良好的疗效。近年来出现的高清腹腔镜、3D腹腔镜、荧光腹腔镜、手术机器人以及人工智能,都推动了胃癌诊疗技术的发展。本文将对目前胃癌外科治疗方式进行综述,以期更好得指导临床治疗,造福患者。

Gastric cancer is one of the most common malignant tumors,which seriously threatens people's life and health with high morbidity and mortality.Operation-centered comprehensive therapy is the most vital method for treating gastric cancer.With the development of surgical concepts,science and technology,as well as the development of a large number of high-standard clinical studies,the treatment of gastric cancer has made great progress,and the surgical method has gradually changed from open surgery to minimally invasive surgery.The research focus of early gastric cancer is to protect function and reduce trauma.Consensus has also been reached on the scope of lymph node dissection for locally advanced gastric cancer,and minimally invasive surgical methods have achieved certain results in terms of safety and effectiveness.For advanced gastric cancer with only one incurable factor,aggressive surgical treatment can also achieve good results.In recent years,high-definition laparoscopy,3D laparoscopy,fluorescent laparoscopy,surgical robots and artificial intelligence have all promoted the development of gastric cancer diagnosis and treatment technology.This paper reviews the current surgical treatment of gastric cancer in order to better guide clinical treatment and benefit patients.