保留功能胃切除术在胃癌根治术中的研究进展

Research progress of function-preserving gastrectomy in radical gastrectomy for gastric cancer

随着健康理念普及和胃镜检查技术的进步,我国早期胃癌确诊比例呈逐年上升趋势。早期胃癌具有良好的预后和长期生存时间,提高早期胃癌患者的术后生命质量成为胃癌研究的重点方向之一。因此,在保证肿瘤根治的前提下,以提高患者生命质量为目的保留功能胃切除术成为早期胃癌治疗的热点议题。近年来,随着对胃癌淋巴结转移规律研究的深入,保留功能胃切除术的应用范围已逐渐向进展期胃癌拓展。保留功能的胃切除术包括节段胃切除术、近端胃切除术和局部胃切除术。笔者围绕近年来保留功能胃切除术的国内外重要研究进展以及笔者团队实践经验进行归纳和总结,期望为临床外科医师开展保留功能胃切除术提供参考。

With the popularization of health awareness and the progress of gastroscopy,the proportion of early gastric cancer is increasing year by year in China.Early gastric cancer has a good prognosis and long-term survival time.Improving postoperative life quality of patients with early gastric cancer will become one of the key directions of gastric cancer research.Therefore,on the premise of ensuring radical tumor treatment,function-preserving gastrectomy for the purpose of improving patients'quality of life has become a hot topic in early gastric cancer In recent years,with the deep study on the rule of lymph node metastasis in gastric cancer,the application extent of function-preserving gastrectomy has gradually expanded to advanced gastric cancer.Function-preserving gastrectomy includes segmental gastrectomy,proximal gastrectomy and local gastrectomy.The authors summarize important research progress of function-preserving gastrectomy at home and abroad and their own practical experience in recent years,aiming to provide references for clinical surgeons to carry out function-preserving gastrectomy.