关键词: 保留功能胃切除术, 早期胃癌, 保留幽门胃切除术, 前哨淋巴结

Abstract:

Controversy and consensus of function preserving gastrectomy        ZHAO Gang, XU Jia, WANG Shu-chang.Department of Gastrointestinal Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200127, China
Corresponding author：ZHAO Gang, E-mail：zhaogang
74313@aliyun.com
Abstract    With the development of diagnostic techniques and the national health screening programs, early gastric cancer patients can get access to more timely diagnoses with favorable prognoses. Thus, surgeons have paid more attention to function preserving of gastrectomy, aiming to limit the perioperative complications and improve quality of life. Pylorus-preserving gastrectomy is widely used as a function preserving gastrectomy, with lower incidence of dumping syndrome, bile reflux and gallstone. However, gastric stasis is a typical complication. Sentinel node navigation surgery can detect lymph node metastases intraoperatively, which assists to assure optimal radicality in various function preserving gastrectomy.

Key words: function preserving gastrectomy, early gastric cancer, pylorus-preserving gastrectomy, sentinel node