中国实用外科杂志

中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (01): 25-30.

• 指南与解读 • 上一篇    下一篇

日本《胃癌治疗指南》（第3版）解读

胡 祥   

  1. 大连医科大学附属第一医院普通外科，辽宁大连116011
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2010-01-12 发布日期:2010-01-12

  • Received:1900-01-01 Revised:1900-01-01 Online:2010-01-12 Published:2010-01-12

PDF

摘要：

日本胃癌学会的第3版《胃癌治疗指南》将于2010?01?01起发行使用。第3版的主要内容是废止了以往在日本长期使用的解剖学N分期（淋巴结站的分类）方法，改为根据淋巴结转移个数确定的N分期方法；制定了新的以术式确定淋巴结清扫部位及简明的D1/D2淋巴结清扫手术。第3版在前两版的基础上，网络新的文献，评价最新的科学成果，将循证医学证据高级别的、行之有效的研究成果纳入《胃癌治疗指南》。第3版《胃癌治疗指南》依据JCOG9501试验结果，取消腹主动脉周围淋巴结清扫的D3手术；依据JCOG9912和SPIRITS试验，将无法手术切除和复发癌采取CDDP+TS?1的化学疗法作为标准化学疗法。因此，第3版《胃癌治疗指南》更具有时代特色和先进性，为临床医疗提供了更为先进的、科学的指导性意见和治疗方略。

关键词: 胃癌, 治疗, 指南

Abstract:

In regard to japanese gastric cancer treatment guidelines-the 3rd Edition HU Xiang. Department of General Surgery，the first Affiliated Hospital，Dalian Medical University，Dalian 116011，China Abstract The Japanese Gastric Cancer Association will issue a revised edition of gastric cancer treatment guidelines in Jan, 1st, 2010. Distinctive features of this revision are lymph node grading based on the removal effect, lymphadenectomy according to the D1/D2 dissection. Based on a high level evidence-based medicine, the Para-aortic lymph node dissection in D3 dissection was excluded in this edition. According to JCOG9912 and SPIRITS trials, neoadjuvant chemotherapy with CDDP and TS-1 has become a standard option in unresectable or recurrent gastric cancer. So the revised edition of gastric cancer treatment guidelines provided more advanced and scientific treatment programs.

Key words: gastric cancer, treatment, guideline