外科学513 胃十二指肠肿瘤.pptVIP

EMR 1.Difficult to resect large than 20mm tumor in size 2. Difficult to resect ulcerative lesions Limitation of EMR techniques ESD was developed ESD for Earlier gastric cancer (EGC ) ESD Oita Digestive Organs Hospital ESD Oita Digestive Organs Hospital Principles of radical operation for gastric cancer 1. Negative margin (R0 resection, adequate margins ≥4 cm ) 2. D2 lymph node dissection for advance gastric cancer 3. Subtotal gastrectomy for distal gastric cancer 4.Total or proximal gastrectomy for proixmal gastric cancer Surgical Treatment for Gastric Cancer Laparoscopic Resection 1. A