【摘要】 日本胃癌学会第7版《日本胃癌治疗指南》在外科治疗、内镜治疗、化学治疗、姑息治疗等方面进行了更新。在外科领域,新增了转化手术、胃次全切除术,扩大了侵犯十二指肠时的淋巴结清扫范围及新增联合脏器切除的推荐,更新了微创手术的推荐级别等。本文结合现有循证医学证据,就上述外科部分的更新进行详细解读,为未来临床工作提供更为科学的指导。更多还原

【Abstract】 The 7th edition of Japanese gastric cancer treatment guidelines issued by the Japanese Gastric Cancer Society has been updated in aspects such as surgical treatment,endoscopic treatment,chemotherapy,and palliative care.In the field of surgery,conversion surgery and subtotal gastrectomy have been added,the extent of lymph node dissection and combined organ resection with duodenal invasion has been expanded or added,and the recommended level of minimally invasive surgery has been updated.This article provides a detailed interpretation of the updates based on existing evidence-based medicine,in order to offer more scientific guidance for future clinical work.更多还原