胃癌诊疗的热点和问题

我国是胃癌高发地区，发病率与死亡率在恶性肿瘤中均位居前列，受区域发展水平的制约，我国的胃癌诊治条件尚不能够完全满足众多病患的需求，面临着十分严峻的抗击胃癌形势。多学科、个体化、规范化治疗是胃癌诊治的发展趋势，目前有关胃癌的热点及争议有很多，胃癌诊治问题的解决有赖于循证医学研究的进一步发展。本文从胃癌临床分期、腹腔镜手术技术、早期胃癌的诊治、晚期胃癌转化治疗、食管胃结合部癌的治疗策略、快速康复外科、基础医学转化研究及胃癌临床试验等方面进行综述，系统地概括当前胃癌诊疗的热点和问题，希望能对广大同道起到一定的参考作用。

The foci and problems in diagnosis and treatment of gastric cancer

China has high prevalence of gastric cancer, with the morbidity and mortality leading the list of malignancy. The conditions of diagnosis and treatment of gastric cancer in China fail to meet the need of a large number of patients because of restriction in re-gional development. Therefore, we are facing a very serious situation of fighting against gastric cancer. Multidiscipline, individualiza-tion, and standardization are the development tendency of diagnosis and treatment of gastric cancer. Numerous topics about gastric cancer are currently controversial and solutions to these problems depend on the development of evidence-based medicine. This re-view summarized the recent progress in the clinical methods used for stomach cancer, laparoscopic surgical techniques, diagnosis and treatment of early gastric cancer, conversion therapy of advanced gastric cancer, therapeutic strategy of esophageal-gastric junction cancer, enhanced recovery after surgery, and translational research and clinical trials of gastric cancer. Moreover, the foci and prob-lems of the diagnosis and treatment of gastric cancer were discussed to provide reference for further studies.