中国实用外科杂志2018，Vol.38Issue(2)：153-157,5.DOI:10.19538/j.cjps.issn1005-2208.2018.02.08
早期胃癌治疗的共识与问题
Consensus and controversy in the treatment of early gastric cancer
摘要
Abstract
Nowadays both the consensus and controversy exist in the treatment of early gastric cancer.On one hand,consensus has been reached in some fields.For example,endoscopic therapy is safe and effective for the early gastric cancer patients meeting the indications,which should be the initial choice with the advantage of minimally invasive.The resection range of stomach and lymph nodes for early gastric cancer is different from that of advanced gastric cancer.Laparoscopic surgery or robotic surgery can be applied in experienced center.On the other hand,some controversies are still unresolved,such as how to improve the accuracy of clinical stage,how to choose the appropriate treatment for expanded indication lesion,what to do if the patient had a positive margin after endoscopic therapy,how to investigate the application of sentinel node mapping and function-preserving gastrectomy,and so on.In general,treatment mode of early gastric cancer is becoming diversified and precision.Perhaps,the combination of laparoscopic surgery and endoscopic therapy will be the hot spot of early gastric cancer in the future.关键词
早期胃癌/胃切除术/内镜治疗Key words
early gastric cancer/gastrectomy/endoscopic therapy分类
医药卫生引用本文复制引用
李子禹,王胤奎,陕飞,季加孚..早期胃癌治疗的共识与问题[J].中国实用外科杂志,2018,38(2):153-157,5.基金项目
北京市医院管理局重点医学专业发展计划胃癌专业(No.ZYLX201701) （No.ZYLX201701）
