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胃癌是导致人类肿瘤相关死亡的前10位原因之一[1],目前为止,根治性的手术仍是治愈胃癌的唯一方法。目前已有广泛的共识,D2根治术是治疗进展期胃癌的标准术式。自从1994年Kitano等[2]完成第1例腹腔镜胃癌根治术,十余年来,腹腔镜胃癌根治术已得到较为普遍的开展,从早期胃癌的局部切除、D1+根治术,到进展期胃癌的标准D2根治术,甚至联合脏器切除的D3根治术均有报道。据日本腔镜与内镜学会(the national survey of the japan society for endoscopic Surgery,JSES)统计,从1991-2003年,在日本大约有7 800例胃癌患者接受了腹腔镜胃癌根治术[3]。
Gastric cancer is one of the top 10 causes of cancer-related deaths in humans [1]. So far, radical surgery remains the only cure for gastric cancer. There is now a wide consensus that D2 radical mastectomy is the standard procedure for the treatment of advanced gastric cancer. Since 1994, Kitano et al [2] completed the first case of laparoscopic radical gastrectomy for more than ten years, laparoscopic radical gastrectomy has been more commonly carried out, from the early excision of gastric cancer, radical resection of D1 + to advanced gastric cancer The standard D2 radical surgery, and even combined with excision of D3 radical surgery have been reported. According to the national survey of the japan society for endoscopic surgery (JSES), there were approximately 7 800 gastric cancer patients in Japan who underwent laparoscopic radical gastrectomy from 1991 to 2003 [3].