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我国胃癌发病率高,多数病人就诊时已处于进展期,手术是治疗进展期胃癌的重要手段之一。胃癌D2根治术是进展期胃癌的标准术式,而在其规范化实施过程中仍存在诸多问题。外科医生应掌握经腹远端胃癌根治术的规范化实施要点,术前分期的意义,术前、尤其术中合理确定手术适应证的要点,规范化的手术操作顺序,淋巴结清扫方法,胃切除范围判定,无瘤技术操作及术中损伤及术后常见严重并发症防治等问题。
The incidence of gastric cancer in our country is high, and most of the patients are in advanced stage of treatment. Surgery is one of the important means to treat advanced gastric cancer. D2 radical gastrectomy is a standard surgical procedure for advanced gastric cancer, and there are still many problems in its standardization. The surgeon should master the standardized implementation of the transabdominal radical gastrectomy essentials, the significance of preoperative staging, preoperative, especially intraoperative and rational identification of surgical indications, standardized surgical procedures, lymph node dissection, gastrectomy range determination , Tumor-free technical operation and intraoperative injury and postoperative common serious complications prevention and treatment and other issues.