胃癌手术中的升级和降级
Daisuke Ichikawa1, Suguru Maruyama2, Hidenori Akaike2
1First Department of Surgery, Faculty of Medicine, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan. dichikawa@yamanashi.ac.jp.
International journal of clinical oncology
|July 1, 2025
概括
胃癌手术正在不断发展,偏爱微创技术而不是广泛的手术. 所有患者的手术策略正在重新评估,包括老年人和患有晚期疾病的人.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 在瘤学瘤学.
背景情况:
- 手术切除是胃癌的主要治疗方法.
- 系统疗法和手术技术的进步正在重塑治疗策略.
- 长时间的手术并没有改善存活率,而微创手术则显示出有前途.
研究的目的:
- 审查当前的证据和胃癌手术的未来方向.
- 专注于手术升级和降级策略.
- 在不断发展的治疗范式中,为最佳的外科决策提供信息.
主要方法:
- 临床试验和关于胃癌手术的证据的审查.
- 对手术方法的分析,淋巴切除术的程度,切除的程度和指示.
- 考虑多学科的治疗和诊断技术.
主要成果:
- 最少侵入性手术 (腹腔镜,机器人辅助) 显示出良好的安全性和有效性.
- 扩展的外科手术程序不会产生改善的生存结果.
- 新型诊断技术增强了个性化手术决策.
结论:
- 手术在胃癌治疗中的作用正在重新评估,特别是在老年患者和晚期疾病中.
- 优化手术策略包括基于证据的升级和降级平衡.
- 以精确诊断为基础的个性化决策对于胃癌管理至关重要.
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