The principles of the surgical management of gastric cancer.

IF 0.3 Q4 ONCOLOGY International Journal of Surgery-Oncology Pub Date : 2017-08-01 Epub Date: 2017-07-12 DOI:10.1097/IJ9.0000000000000011
Elroy P Weledji
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引用次数: 19

Abstract

Surgery is the only curative therapy for gastric cancer but most operable gastric cancer presents in a locally advanced stage characterized by tumor infiltration of the serosa or the presence of regional lymph node metastases. Surgery alone is no longer the standard treatment for locally advanced gastric cancer as the prognosis is markedly improved by perioperative chemotherapy. The decisive factor for optimum treatment is the multidisciplinary team specialized in gastric cancer. However, despite multimodal therapy and adequate surgery only 30% of gastric cancer patients are alive at 3 years. This article reviewed the principles of the surgical management of gastric cancer (minimally invasive or open) and how this may optimize multimodal treatment.

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胃癌的外科治疗原则。
手术是胃癌唯一的治疗方法,但大多数可手术的胃癌表现为局部晚期,其特征是肿瘤浸润浆膜或存在区域淋巴结转移。单纯手术治疗已不再是局部晚期胃癌的标准治疗方法,围手术期化疗可显著改善预后。最佳治疗的决定性因素是多学科的胃癌专业团队。然而,尽管多模式治疗和适当的手术,只有30%的胃癌患者在3年存活。本文综述了胃癌手术治疗的原则(微创或开放),以及如何优化多模式治疗。
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