Advances in surgical treatment of gastric cancer.docVIP

 PAGE \* MERGEFORMAT 11 Advances in surgical treatment of gastric cancer [Keywords:] surgical treatment of gastric cancer Surgical treatment of gastric cancer has a long history, since 1891, first gastrectomy Billroth successfully implemented, has been in the past 100 years. Although the surgical treatment of gastric cancer from the global situation, the effect is far from perfect, but the surgical treatment of gastric cancer is still a hope that an effective cure methods. in morbidity and mortality of gastric cancer are more than twice the world average, over the past 30 years, the surgical treatment of 5-year survival rate remained at 20% to 30%. and the West 5-year survival rate of gastric cancer resection 10% to 30% [1] basically the same. The Japanese 5-year survival rate is about 60%, compared with Western countries, China and significantly improve the efficacy of much more. Most of the clinical medical center has been formed with surgery and combined with chemotherapy , radiotherapy, immune therapy of surgical combined treatment modalities, the overall effect of gastric cancer has improved, but in terms of specific programs, there are still many aspects worthy of further improvement, the paper reviewed in this regard. First, the standards and methods of staging gastric cancer TNM staging of gastric cancer, UICC, AJCC, JCC after a large number of clinical validation and years of discussion, in the world to promote, but in practice be difficult, mainly because of the extent of lymph node N belongs to vary, according to TNM stage, N0 to their respective lymph node metastasis, N1 1 to 6 lymph node metastases, N2 7 to 14 lymph nodes metastasis, N3 lymph node metastasis more than 15, requires that each case must be detected in more than 15 lymph nodes, which difficult to achieve in the preoperative staging, but also to the detection of gastric cancer lymph nodes after surgery more difficult [2]. At present, the use of spiral CT, endoscopic ultrasou