CAJ | 학술논문

中国早期胃癌诊断率低,大部分患者就诊时已处于进展期.随着肿瘤免疫学研究的深入,淋巴结在肿瘤免疫中的作用逐渐受到重视.根据淋巴结转移规律进行淋巴结清扫已成为胃癌根治术研究的重点.D2根治术是治疗进展期胃癌的标准术式,而腹腔镜下D3根治术目前亦在积极探索之中.就腹腔镜在进展期胃癌淋巴结清扫应用中的现状、近期和远期疗效等进行综述.
중국조기위암진단솔저,대부분환자취진시이처우진전기.수착종류면역학연구적심입,림파결재종류면역중적작용축점수도중시.근거림파결전이규률진행림파결청소이성위위암근치술연구적중점.D2근치술시치료진전기위암적표준술식,이복강경하D3근치술목전역재적겁탐색지중.취복강경재진전기위암림파결청소응용중적현상、근기화원기료효등진행종술.
The diagnosis rate of early gastric cancer in China is low,most patients seeing the doctor are already in advanced period.Lymphadenectomy is the key factor affecting the tumor treatment and prognosis.With the depth of the research on tumor immunology,the function of lymph nodes in tumor immunity has been gradually paid more and more attention.The role of lymphadenectomy according to the rule of the lymph nodes metastasis has become the research point of the radical gastrectomy.Gastrectomy with D2 lymphadenectomy is the standard surgical treatment for advanced cancer.Laparoscopic-assisted gastrectomy with D3 lymphadenectomy is also in active exploring.In this article,the application of laparoscopy in advanced gastric cancer of current status,near-term efficacy,long-term outcome and complications are reviewed.