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胃癌是常见的恶性肿瘤之一,虽然半个世纪以来,其发病率在部分国家呈下降趋势,但在我国胃癌仍居恶性肿瘤发病率和死亡率之首,多数病例在确诊时已属中晚期,手术治疗的5年生存率为20%～30%[1],可见胃癌仍是外科治疗效果不满意的恶性肿瘤。究其原因,除早期病例过少外,主要为外科医生病情判断错误与癌扩散,原发癌灶的切除不充分,胃周转移性淋巴结清除不彻底,对腹腔游离癌细胞或微小癌灶缺乏灭活措施,以及术后综合治疗的不合理所致[2]。为此对可切除进展期胃癌做综述如下。
Although gastric cancer is one of the most common malignant tumors, the incidence of gastric cancer is still the highest in China in half a century, with the incidence of malignant tumors being the highest in our country. Most of the cases are diagnosed late , Surgical treatment of 5-year survival rate of 20% to 30% [1], gastric cancer is still not satisfied with the surgical treatment of malignant tumors. The reason, in addition to too few early cases, the surgeon mainly to determine the wrong disease and spread of cancer, inadequate resection of the primary foci, gastric lymph node metastasis is not complete, the lack of peritoneal free cancer cells or tiny foci Inactivation measures, as well as postoperative comprehensive treatment due to unreasonable [2]. This review of resectable advanced gastric cancer is as follows.