腹膜转移性胃癌:局部治疗选择和建议
Miklos Acs1, Pompiliu Piso2, Gabriel Glockzin3
1Department of Surgery, University Medical Center Regensburg, 93053 Regensburg, Germany.
Current oncology (Toronto, Ont.)
|March 27, 2024
概括
细胞还原性手术和腹内化疗为患有腹转移的晚期胃癌提供添加性局部治疗. 这些疗法,包括HIPEC,NIPS和PIPAC,为选定的患者提供治疗和息选择.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 腹膜转移在晚期胃癌中很普遍.
- 系统化疗是标准的,但局部治疗越来越重要.
- 对于被选中的患者来说,多模式方法至关重要.
研究的目的:
- 审查细胞还原性手术 (CRS) 在腹膜转移中的作用.
- 讨论腹腔内化学疗法技术 (HIPEC,NIPS,PIPAC) 的问题.
- 评估这些作为胃癌的附加治疗选择.
主要方法:
- 对CRS和腹腔内化疗研究的文献综述.
- 对腹膜转移性胃癌的治疗概念的分析.
- 讨论治疗和息的意图.
主要成果:
- 与腹腔内化疗相结合的CRS显示出有前途.
- 讨论的HIPEC,NIPS和PIPAC是主要的技术.
- 这些局部治疗方法可以整合到多式联运概念中.
结论:
- 细胞还原性手术和腹腔内化疗是有价值的补充.
- 这些疗法提供了治疗和息的好处.
- 谨慎的患者选择对于最佳结果至关重要.
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