CAJ | 학술논문

胃癌是危害人类健康的严重疾病之一，个体化手术成为当代胃癌外科治疗的发展要求，而科学技术的飞速发展推动了微创技术在胃肠外科中的应用。本文探讨微创技术对胃癌个体化手术的影响，包括微创外科的特征、个体化治疗对胃癌手术的要求和胃癌微创手术的变化趋势，重点论述基于多学科团队（multidisciplinary team）模式的术前分期在胃癌个体化手术选择中的地位，胃癌术式的多样性及循证医学下的个体化术式的选择，基于动脉导航（arterial navigation）的现有胃癌淋巴清扫的个体化要求，术中再分期、方案再制定及落实等术者经验与决策对胃癌个体化手术的重要影响。
위암시위해인류건강적엄중질병지일，개체화수술성위당대위암외과치료적발전요구，이과학기술적비속발전추동료미창기술재위장외과중적응용。본문탐토미창기술대위암개체화수술적영향，포괄미창외과적특정、개체화치료대위암수술적요구화위암미창수술적변화추세，중점논술기우다학과단대（multidisciplinary team）모식적술전분기재위암개체화수술선택중적지위，위암술식적다양성급순증의학하적개체화술식적선택，기우동맥도항（arterial navigation）적현유위암림파청소적개체화요구，술중재분기、방안재제정급락실등술자경험여결책대위암개체화수술적중요영향。
Gastric cancer is a major global health problem. Individualized surgery has become a requirement for the development of surgical treatment for gastric cancer. The rapid development of science and technology promotes the application of minimally invasive techniques in gastrointestinal surgery. In this review, we aim to explore the inlfuence of minimally invasive techniques on individualized surgery for gastric cancer, including the characteristics of the era of minimally invasive surgery, request of individualized treatment on surgery of gastric cancer and the development trend of minimally invasive surgery for gastric cancer. Particularly, we would discuss the guiding importance of preoperative staging based on multidisciplinary treatment for the option of individualized surgery for gastric cancer, the diversity of surgical method in the era of minimally invasive surgery and the option of surgical methods based on evidenced-based medicine, individual requirements for current lymph node dissection strategy based on arterial navigation, and the important role of the operator’s experience in individualized surgery, including intraoperative re-staging, and the reenacting and implement of surgical methods.