关键词: 早期胃癌, 胃切除术, 内镜治疗

Abstract:

Consensus and controversy in the treatment of early gastric cancer        LI Zi-yu, WANG Yin-kui, SHAN Fei,et al. Key Laboratory of Carcinogenesis and Translational Research （Ministry of Education），Gastrointestinal Cancer Center，Peking University Cancer Hospital & Institute，Beijing 100142，China
Corresponding author：LI Zi-yu，E-mail：ligregory@outlook.com
Abstract    Nowadays both the consensus and controversy exist in the treatment of early gastric cancer. On one hand , consensus has been reached in some fields. For example, endoscopic therapy is safe and effective for the early gastric cancer patients meeting the indications, which should be the initial choice with the advantage of minimally invasive. The resection range of stomach and lymph nodes for early gastric cancer is different from that of advanced gastric cancer. Laparoscopic surgery or robotic surgery can be applied in experienced center. On the other hand, some controversies are still unresolved, such as how to improve the accuracy of clinical stage, how to choose the appropriate treatment for expanded indication lesion, what to do if the patient had a positive margin after endoscopic therapy, how to investigate the application of sentinel node mapping and function-preserving gastrectomy, and so on. In general, treatment mode of early gastric cancer is becoming diversified and precision. Perhaps, the combination of laparoscopic surgery and endoscopic therapy will be the hot spot of early gastric cancer in the future.

Key words: early gastric cancer, gastrectomy, endoscopic therapy