| 进展期胃癌的外科治疗 |
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| 引用本文： | 林锋,吴伍林. 进展期胃癌的外科治疗[J]. 中华胃肠外科杂志, 2011, 14(2): 81-83. DOI: 10.3760/cma.j.issn.1671-0274.2011.02.001 |
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| 作者姓名： | 林锋 吴伍林 |
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| 作者单位： | 广东省医学科学院,广东省人民医院胃肠外科,广州,510080 |
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| 摘 要： | 尽管胃癌发病率有下降的趋势．但其仍为全球范围内发病率占第4位、死亡人数占第2位的恶性肿瘤。胃癌的预后较差，外科手术目前仍然是获得痊愈的唯一途径。由于胃癌有很高的淋巴转移率及淋巴复发率，故淋巴结清扫在胃癌外科手术中占有重要地位。D2淋巴结清扫作为胃癌淋巴结清扫的标准已成为东西方专家的共识。一些临床试验显示，新辅助化疗应用于进展期胃癌有良好的效果．但仍需要大样本的随机对照试验加以证实。
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| 关 键 词： | 胃肿瘤 进展期 外科治疗 |
Surgical treatment for advanced gastric cancer |
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| LIN Feng,WU Wu-lin. Surgical treatment for advanced gastric cancer[J]. Chinese journal of gastrointestinal surgery, 2011, 14(2): 81-83. DOI: 10.3760/cma.j.issn.1671-0274.2011.02.001 |
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| Authors: | LIN Feng WU Wu-lin |
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| Affiliation: | . (Department of Gastrointestincd Surgery, Guangdong Provinciial Hospital, Guangzhou 510080, China) |
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| Abstract: | Despite the incidence of gastric cancer is decreasing, it remains the fourth most common malignancy and the second leading cause of cancer-related death around the world. The prognosis of gastric cancer is still poor and surgery is the mainstay treatment. Lymph node dissection plays an important role in the surgery of gastric cancer due to the high incidence of lymph node metastasis and recurrence. There has been a consensus between the West and the East that D2 lymph node dissection is the standard dissection for advanced gastric cancer. Some clinical trials have showed good results of neoadjuvant chemotherapy in advanced gastric cancer. Large sample randomized controlled studies are needed to confirm the value of neoadjuvant chemotherapy. |
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| Keywords: | Stomach neoplasms,advanced Surgical treatment |
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