残胃癌诊断与微创治疗应用现状
Diagnosis and minimally invasive treatment of gastric remnant cancer
残胃癌系指胃部分切除术后残胃发生的癌,其占据胃癌的发生比例近年有所上升.残胃癌的发生、发展及转移规律较胃癌有所不同,其早期诊断应建立在对胃切除患者合理的监测基础上.对早期残胃癌,内镜下切除是一种安全、有效的手段;对进展期残胃癌,手术切除是首要的治疗选择.对有经验的外科医生而言,微创治疗手段包括腹腔镜探查、腹腔镜辅助残胃癌根治术仍然是一种安全的选择.
更多Gastric remnant cancer(GRC) is defined as cancer in the remnant stomach after partial gastrectomy.The incidence of GRC is rising in recent years.The carcinogenesis,development,and metastasis of GRC are different from primary gastric cancer.The early detection of GRC should be based on rational surveillance of patients following gastrectomy.For early stage GRC,endoscopic resection is one of the safe and effective methods.For advanced GRC,the primary treatment alternative is surgical resection.Minimally invasive procedures such as laparoscopic exploration,laparoscopic-assisted resection of GRC are still safe choices for experienced surgeons.
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