Research development and controversial topics of function-preserving surgery for early gastric cancer
10.3760/cma.j.cn112139-20250815-00405
- VernacularTitle:早期胃癌保功能手术的研究进展和争议焦点
- Author:
Mengyu FENG
1
;
Ke JI
;
Zhaode BU
Author Information
1. 北京大学肿瘤医院暨北京市肿瘤防治研究所胃肠肿瘤中心 恶性肿瘤发病机制及转化研究教育部重点实验室，北京 100142
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Early gastric cancer;
Function-preserving surgery;
Tumor radicality;
Surgical indications;
Surgical safety
- From:
Chinese Journal of Surgery
2026;64(1):41-45
- CountryChina
- Language:Chinese
-
Abstract:
With the advancement of the times and technology, the proportion of early gastric cancer has been increasing year by year, and its treatment methods have shifted towards more minimally invasive approaches, with better function-preserving and postoperative quality of life. Function-preserving surgery has gradually become the mainstream surgical option for early gastric cancer. Function-preserving surgeries mainly include segmental gastrectomy, pylorus-preserving gastrectomy, local gastrectomy, and sentinel lymph node navigation surgery. Although significant progress has been made in various function-preserving surgeries in recent years, there are still controversies regarding the selection of surgical indications, assessment of tumor radicality, surgical safety, and postoperative gastric function evaluation. Further high-quality evidence-based research is still needed to confirm the safety and effectiveness of function-preserving surgery for early gastric cancer.
