[Functional evaluation after function-preserving gastrectomy]

Area of Science:

• Oncology
• Surgical Gastroenterology
• Medical Technology

Background:

• Increasing early gastric cancer diagnosis rates necessitate improved surgical approaches.
• Radical surgery is effective but often compromises stomach function and patient quality of life.
• Balancing oncological safety with functional preservation is a key challenge in gastric cancer treatment.

Purpose of the Study:

• To review the current status of functional evaluation methods for function-preserving gastrectomy.
• To discuss postoperative complications, nutritional status, and auxiliary examinations in evaluating gastric function.
• To explore future research directions for standardized functional assessment after gastrectomy.

Main Methods:

• Literature review of function-preserving gastrectomy techniques and evaluation methods.
• Analysis of existing subjective (quality of life scales) and objective (endoscopy, hematology) assessment tools.
• Discussion of research gaps and future prospects in functional evaluation.

Main Results:

• Function-preserving gastrectomy, by reducing resection extent and preserving key structures, offers improved quality of life.
• Current evaluation methods rely heavily on subjective quality of life scales, lacking standardization.
• Objective assessments like endoscopy and hematology provide limited evidence for functional benefits.

Conclusions:

• Function-preserving gastrectomy holds significant potential for improving early gastric cancer patient outcomes.
• There is an urgent need for standardized, objective functional evaluation criteria.
• Further research is crucial to establish robust assessment protocols for function-preserving gastrectomy.