胃癌手术:平衡瘤疗效与术后发病率和功能损害
Andrianos Tsekrekos1,2, Yasuhiro Okumura1,3, Ioannis Rouvelas1,3
1Department of Clinical Science, Intervention and Technology (CLINTEC), Division of Surgery and Oncology, Karolinska Institutet, 141 52 Stockholm, Sweden.
Cancers
|May 11, 2024
概括
胃癌的手术方法正在向个性化,基于证据的方法发展,减少了广泛的切除. 腹腔镜手术和新技术等最小侵入性技术提高了精度和患者的结果.
科学领域:
- 手术瘤学手术瘤学
- 胃肠道手术 胃肠道手术
- 最少侵入性的手术
背景情况:
- 胃癌的外科治疗已经在全球实践中得到了显著的协调.
- 历史趋势显示,从广泛的切除转向量身定制的,基于证据的方法.
- 现在选择性地进行预防性切除和广泛的淋巴切除术.
研究的目的:
- 审查胃癌手术管理的演变.
- 突出采用和扩展的最少侵入性技术.
- 讨论功能维护和创新的外科技术的进展.
主要方法:
- 对胃癌手术当前趋势的审查.
- 对腹腔镜和机器人辅助胃切除术的采用情况的分析.
- 探索功能维护技术和新兴技术,如氨酸绿色光成像等.
主要成果:
- laparoscopic胃切除术的指示已经扩展到早期和局部发达的胃癌.
- 功能维护手术 (例如,胆柱体维护手术,近腹切除术) 可以改善患者的生活质量.
- 创新技术显示出改善手术精度和结果的前景.
结论:
- 胃癌手术越来越多地是量身定制和基于证据的.
- 最少侵入性和功能维护方法是现代治疗的组成部分.
- 新兴技术有望进一步完善外科手术精度和瘤/功能结果.
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