Progress and prospect of surgical comprehensive treatment of gastric cancer
Journal Title: Journal of Surgery : Concepts & Practice - Year 2023, Vol 28, Issue 1
Abstract
Gastric cancer is one of the leading malignancies in China and in the world. Surgery is still the most important modality to cure gastric cancer. A series of clinical researches changed the traditional concept of surgery and avoided blindly expanding the scope of surgery. Laparoscopic surgery for both early and locally advanced gastric cancer achieved the same radical effect as open surgery. The key to further improve the efficacy of minimally invasive surgery is controlling indications, establishing a training system for surgical techniques and optimizing the relation between costs and benefits. The relationship between resection of organs and preservation of organ function should be balanced in the extended surgery for gastric cancer. Perioperative treatment of locally advanced gastric cancer would be advocated actively. Conversion therapy preoperatively for far-advanced gastric cancer is advocated. Palliative resection should be strictly controlled for the patients of far-advanced gastric cancer with extensive metastasis, and comprehensive treatment should be carried to prolong the life of patients.
Authors and Affiliations
Zhenggang ZHU
Keywords
Related Articles
- EP ID EP750837
- DOI 10.16139/j.1007-9610.2023.01.01
- Views 25
- Downloads 0
Application of ERCP in diagnosis and treatment of biliary complications during perioperative period of primary liver cancer
[Objective:] To review the experience of using endoscopic retrograde cholangio-pancreatography (ERCP) in the clinical diagnosis and treatment of biliary complications during perioperative period of primary liver cancer a...
Evaluation of stoma skin barrier in peristomal wound healing
[Objective] To assess the effect of stoma skin barrier in the treatment of peristomal wound. [Methods] Sixty patients of intestinal stoma with less than 10 cm from wound in our peristomal skin care departments of surgery...
Minimally invasive surgery facilitates surgical treatment of obesity and metabolic diseases
The prevalence and social burden of obesity and metabolic diseases are increasing. Multidisciplinary diagnosis and treatment, including surgical treatment, can effectively improve the condition of obesity and metabolic d...
Study on oral microflora related to pancreatic cancer
Development and prospect of laparoscopic living donor hepatectomy
In recent years, benifit by the advancement of minimally invasive surgical techniques, laparoscopic living donor hepatectomy（LLDH） has experienced rapid development. Since this technology was first reported in 2002, ma...