在胃癌手术当前的辩论:切除术?
Enver Ilhan1, Mehmet Yildirim2
1Department of General Surgery, University of Health Sciences Turkey, Izmir Faculty of Medicine, Izmir City Hospital, İzmir 35530, Türkiye. enverhan60@gmail.com.
World journal of gastrointestinal surgery
|September 15, 2025
概括
本综述检查了全切或部分切除术是否是治疗晚期胃癌 (GC) 的最佳方法. 有证据表明,这两种程序都可能是有效的,这取决于疾病阶段和患者的因素.
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:
- 尽管有现代治疗方法,晚期胃癌 (GC) 仍然是一个重大挑战.
- 体是GC复发的常见地点,原因是它的淋巴连接.
- 目前在GC中进行大脑切除手术的手术指南在西方和日本实践之间存在差异.
研究的目的:
- 审查和比较在晚期胃癌 (GC) 治疗中全肠切除术和部分切除术的疗效.
- 根据当前的证据,评估对大脑切除术的最佳手术方法.
主要方法:
- 系统的文献综述,对比了GC全身和部分全身切除术的研究.
- 对复发率,生存结果和转移模式的分析与大脑切除术的程度有关.
- 考虑诸如瘤阶段,新辅助/辅助疗法以及实践中的地理差异等因素.
主要成果:
- 研究表明,关于整体切除术优于部分切除术的优势,结果是相互矛盾的.
- 在GC的某些阶段,特别是经过外科手术后的化疗时,部分整体切除可能是足够的.
- 一些人推全身切除术是为了完全去除瘤,而另一些人认为部分切除术甚至在晚期疾病中也足够.
结论:
- 对于晚期胃癌 (GC) 的最大切除术的最佳程度需要进一步的研究.
- 决策时应考虑瘤阶段,患者特征以及新辅助/辅助治疗方案.
- 在GC中对大脑切除术的手术建议进行标准化对于改善患者的治疗结果至关重要.
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