Progress and implementing of novel surgical concepts and techniques in patients with resectable gastric cancer liver metastasis
10.3760/cma.j.cn112139-20240119-00040
- VernacularTitle:外科新理念和新技术在可切除型胃癌肝转移患者中的发展和应用
- Author:
Yunhe GAO
1
;
Li LI
;
Lin CHEN
Author Information
1. 解放军总医院第一医学中心普通外科医学部，北京 100853
- Keywords:
Stomach neoplasms;
Neoplasm metastasis;
Surgical procedures, operative;
Novel surgical concepts;
Advanced surgical techniques
- From:
Chinese Journal of Surgery
2024;62(5):359-363
- CountryChina
- Language:Chinese
-
Abstract:
In recent years, advances in surgical techniques and evolving concepts have significantly improved treatment strategies and prognosis for patients with gastric cancer liver metastases. In particular, patients diagnosed with initially resectable gastric cancer liver metastases shows marked improvement in survival. Despite variations in the definition of initially resectable gastric cancer liver metastases among different consensus and guidelines, surgical resection and hepatic physiotherapy are increasingly crucial components of comprehensive treatment. Meanwhile, the advancement of the multidisciplinary team model for diagnosis and treatment, along with the evolution of minimally invasive surgical concepts, offers patients increasingly personalized and less intrusive therapeutic alternatives. According to the Chinese Consensus Classification System for Gastric Cancer Liver Metastasis, the optimal clinical pathway for patients initially diagnosed with resectable gastric cancer liver metastasis involves precise categorization, guided selection of surgical approaches and physiotherapy using the multidisciplinary team model, and consideration of molecular classification. However, the refinement and confirmation of these clinical strategies is still required through high-quality clinical trials.
