关键词: 胃癌, 指南, 手术, 化疗, 随访

Abstract:

Japanese gastric cancer treatment guidelines-the 4th Edition 2014 update message        HU Xiang. Department of General Surgery，the First Affiliated Hospital，Dalian Medical University，Dalian 116011，China
Abstract    The launch of Japanese gastric cancer treatment guidelines ( the following as guide) -the 3rd Edition in 2010 has produced a great effect on the surgical treatment of gastric cancer. The treatment of gastric cancer is more standardized, rationalized and normalized. In recent years, new research results made "guide" revised and reedited. In the new "guide" of the 4th Edition 2014, seven major problems were revised on the basis of the previous “guide”. New evidence and standards were introduced (the definition of gastric operation was updated; temporary provisions and flow chart were enacted for the lymph node dissection when the size of esogastric junction adenocarcinoma is smaller than 4cm; laparoscopic distal gastrectomy was considered to be the conventional treatment for stage I gastric cancer; the relevant standards under gastroscope therapy; the recommended degree of chemotherapy ; the recommended scheme and flow chart for HER2-negative and HER2-positive gastric carcinoma; the relevant provisions of the operation, chemotherapy and follow-up for gastric cancer of stage M1). The "guide"- the 4th edition  has acquired the latest scientific achievements, which makes the basic principles for the treatment of gastric cancer and the concept more scientific and accurate. It will provide important guidance for the future clinical practice.

Key words: gastric carcinoma, guideline, surgery, chemotherapy, follow-up