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当前国内外在胃癌治疗上的总趋势可概括为:(1)外科手术仍然是治疗胃癌的主要手段;(2)只要患者身体条件许可.又无明显远处转移,皆应手术探查.力争切除;(3)手术切除应力求根治,即使姑息性切除,亦应使瘤组织残留愈少愈好,以便给他种非手术治疗创造最有利的条件。 手术治疗早期胃癌(或浅表粘膜癌)的5年生存率可达90％左右。但进展性胃癌的手术结果仍很不满意,5年生存率一般在20—30％之间,个别者可超过50％~35。人们正从继续改进手术和综合多种治疗手段等方面努力,以期提高疗效。 各家报道胃癌的手术率约在80—90~+％~4-6.9,切除率约在80％以下~4、7、8.治愈性切除率约为50％~4、7 一、胃切除范围 胃癌手术时有关胃的切除范围,近年来意见渐
The current general trends in the treatment of gastric cancer at home and abroad can be summarized as follows: (1) Surgery is still the main method for treating gastric cancer; (2) As long as the patient’s physical condition permits and there is no significant distant metastasis, surgical exploration should be performed. (3) Surgical resection requires radical treatment. Even if palliative resection is performed, the less residual tumor tissue should be, the better it is to create the most favorable conditions for non-surgical treatment. The 5-year survival rate of surgical treatment for early gastric cancer (or superficial mucosal cancer) can reach 90%. However, the surgical outcome of advanced gastric cancer is still very unsatisfactory. The 5-year survival rate is generally between 20-30%, and individual patients may exceed 50%-35. People are making efforts to continue to improve the operation and integrate various treatment methods in order to improve the efficacy. The rate of operation of various reports of gastric cancer is about 80-90~+%~4-6.9, and the resection rate is less than 80%~4,7,8. The curative resection rate is about 50%~4,7. Range of Gastric Resection in Gastric Cancer Surgery