中国实用外科杂志

• 国际外科动态 • 上一篇    下一篇

第5版日本《胃癌治疗指南》更新要点

所    剑   

  1. 吉林大学第一医院胃结直肠肛门外科,吉林长春130021
  • 出版日期:2017-04-01 发布日期:2017-03-31

  • Online:2017-04-01 Published:2017-03-31

摘要:

“第89届日本胃癌学会年会”对第5版日本《胃癌治疗指南》进行了更新内容的解读。新版本《胃癌治疗指南》是由团队的集体想法所确定内容的临床型指南而不单纯是之前版本的共识型指南;基于JCOG0607试验结果,确定了内镜治疗胃癌的绝对适应证、扩大切除适应证和相对适应证;新版指南在存在单一不可治愈因素胃癌的治疗方式的选择、脾切除对完全清扫No. 10 和No. 10淋巴结的价值、cT3/T4期胃癌网膜囊切除的选择以及胃食管结合部癌淋巴结清扫范围给予了明确解答;基于专家组投票,确定了进展期胃癌的推荐化疗方案。

关键词: 胃癌, 日本胃癌学会, 指南

Abstract:

Updated contents of Japanese gastric cancer treatment guidelines-the 5th edition        SUO Jian. Department of Gastric and Colorectal Surgery, the First Hospital of Jilin University, Changchun 130021, China
Abstract    The 89th annual meeting of the Japanese gastric cancer association released the updated contents of Japanese Gastric Cancer Treatment Guidelines -the 5th Edition. New guideline will be established based on MINDS instruction how to make up the clinical guideline. Based on the results of  JCOG0607 trail, the absolute indication, expanded indication and relative indication of EMR/ESD were determined; several old argument in the course of diagnose and treatment of  gastric cancer were resolve, such as the treatment choice of  gastric cancer with a single non-curable factor, the role of splenectomy for complete resection of No.10 and No.11 nodes, bursectomy for patients with c T3/T4 gastric cancer and lymph node dissection for esophagogastric junction carcinoma. The recommended chemotherapy regimens were listed based on voted results of specialist.

Key words: gastric cancer, Japanese Gastric Cancer Association, guidline