胃癌术后并发症对肿瘤学预后的影响——胃外科医生技术、责任心、同理心的体现

Influence of postoperative complications on prognosis of gastric cancer—The manifestation of gastric surgeon's skill,responsibility and empathy

胃癌根治术联合围手术期综合治疗是胃癌患者获得治愈的主要手段,而术后并发症是胃外科医生一直以来无法回避的问题。手术相关并发症不仅影响患者近期术后恢复、延缓放化疗等综合治疗的实施,而且可促进肿瘤复发转移,导致患者远期预后不良。因此,统一胃癌术后并发症的诊断标准,提高外科医师对并发症的重视程度,理解并发症影响患者肿瘤学预后的潜在机制,将有利于提升我国胃癌诊疗水平,改善患者总体预后。同时,外科医师应不断磨练自身手术技巧,增强责任心和同理心,根据患者情况“个体化”制定围手术期治疗和管理方案,最大程度地减少术后并发症的发生及其对患者预后的影响。

Radical gastrectomy combined with perioperative comprehensive treatment is the main curable strategy for gastric cancer patients,and postoperative complications are the issue that gastric surgeons have to face.Complications not only affect the short-term postoperative recovery,but also facilitate tumor recurrence or metastasis,thus resulting in poor prognosis.Therefore,unifying the diagnostic criteria for postoperative complications,bringing the surgeons'attention to complications,and understanding the potential mechanism of complications undermining long-term survival,will be helpful to the future improvement of the clinical diagnosis and treatment as well as prognosis for gastric cancer patients in China.Meanwhile,surgeons should constantly hone their operative skills,improve their sense of responsibility and empathy,and administer individualized perioperative management based on patients'general conditions,so as to minimize the occurrence of postoperative complications and their influence on prognosis.