Segmental gastrectomy with cardia preservation for early gastric cancer
10.3760/cma.j.cn.441530-20200711-00414
- VernacularTitle:保留贲门的胃节段切除术在早期胃癌手术中的应用
- Author:
Mingjie XIA
1
;
Quan WANG
Author Information
1. 吉林大学第一医院胃结直肠外科，长春 130021
- Keywords:
Stomach neoplasms, early;
Cardia;
Function-preserving gastrectomy;
Segmental gastrectomy;
Pylorus-preserving gastrectomy
- From:
Chinese Journal of Gastrointestinal Surgery
2020;23(10):931-934
- CountryChina
- Language:Chinese
-
Abstract:
Segmental gastrectomy with cardia preservation can reduce the symptoms of postoperative gastroesophageal reflux and improve the quality of life, which is potentially advantageous among function-preserving gastrectomy procedures. However, due to the limited extent of excision, this procedure is classified as an investigational treatment in the Japanese Gastric Cancer Treatment Guidelines, without wide acceptance in clinical practice. It is generally believed that the surgical indication of segmental gastrectomy is more selected compared to the pylorus-preserving gastrectomy, and there are also differences between their therapeutic goals. The indications of cardia preservation in segmental gastrectomy mainly depend on the T stage, the distance of the resection margin and the metastasis of lymph nodes. Other points of segmental gastrectomy mainly include the scope of lymphadenectomy, the preservation of blood vessels and vagal nerves, which are still controversial in different researches. High-quality evidences are needed to confirm the safety and long-term efficacy of the segmental gastrectomy.
