中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2015年
1期
111-116
,共6页
胃肿瘤%分期%外科手术%综合治疗
胃腫瘤%分期%外科手術%綜閤治療
위종류%분기%외과수술%종합치료
Stomach neoplasms%Staging%Surgical procedures%Multi-modality treatment
胃癌外科治疗的前提和基础是术前准确的分期，不同的分期其治疗理念不尽相同。内镜治疗逐渐成为早期胃癌的首选治疗方式，D2是进展期胃癌的标准手术。扩大手术范围并未使患者术后生存率有更多获益；多学科的共同参与，有效地将手术、化疗、放疗、分子靶向治疗等结合为一体是治疗进展期胃癌的最佳选择。
胃癌外科治療的前提和基礎是術前準確的分期，不同的分期其治療理唸不儘相同。內鏡治療逐漸成為早期胃癌的首選治療方式，D2是進展期胃癌的標準手術。擴大手術範圍併未使患者術後生存率有更多穫益；多學科的共同參與，有效地將手術、化療、放療、分子靶嚮治療等結閤為一體是治療進展期胃癌的最佳選擇。
위암외과치료적전제화기출시술전준학적분기，불동적분기기치료이념불진상동。내경치료축점성위조기위암적수선치료방식，D2시진전기위암적표준수술。확대수술범위병미사환자술후생존솔유경다획익；다학과적공동삼여，유효지장수술、화료、방료、분자파향치료등결합위일체시치료진전기위암적최가선택。
Accurate preoperative staging is imperative in surgical therapy of gastric cancer, disease in different stages mandate different management strategies. Endoscopic treatment has become the preferred treatment for patients with early gastric cancer. D2 radical gastrectomy is a standard surgical procedure for patients with advanced gastric cancer. Several clinical trials have revealed that more extended resection than D2 surgery has no impact on survival. Multimodality treatment in involving perioperative chemotherapy, radiotherapy or molecular targeting agents in addition to surgery have been thought to be promising treatment strategy for advanced gastric cancer.
