在胃癌外科领域，胃系膜切除的手术理念及原则正处于实践探索中。基于胃的胚胎发生学和膜解剖理论来理解胃的腹侧系膜与背侧系膜的发生、融合筋膜的形成、血管走行变化和淋巴结归属，遵循完整胃系膜切除的手术理念，通过整块切除胃系膜同时保留其内的胰腺及主干血管，可以实现规范化的D2淋巴结清扫。完整胃系膜切除理念有望发挥与全直肠系膜切除和完整结肠系膜切除相似的作用，推动胃癌手术质量的提高。
Abstract
In the field of gastric cancer surgery, the surgical concept and principles of complete mesogastric excision are currently under exploration and practice. Based on the embryology of the stomach and membrane anatomy theory, understanding the development of the ventral and dorsal mesogastric, the formation of fusion fasciae, changes in vascular courses, and lymph node distribution, the surgical concept of complete mesogastric excision is followed. By en bloc resection of the mesogastric while preserving the pancreas and major blood vessels within it, standardized D2 lymph node dissection can be achieved. The concept of complete mesogastric excision is expected to play a role similar to that of total mesorectal excision and complete mesocolic excision, promoting the improvement of gastric cancer surgical quality.
关键词
胃癌 /
胚胎学 /
膜解剖 /
完整胃系膜切除 /
D2淋巴结清扫 /
Toldt筋膜 /
完整结肠系膜切除
Key words
gastric cancer /
embryology /
membrane anatomy /
complete mesogastric excision /
D2 lymphadenectomy /
Toldt fascia /
complete mesocolic excision
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