Editorial

Progress and prospect of surgical comprehensive treatment of gastric cancer

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  • Department of General Surgery, Shanghai Institute of Digestive Surgery, Shanghai Key laboratory of Gastric Neoplasms, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Received date: 2022-12-19

  Online published: 2023-03-25

Abstract

Gastric cancer is one of the leading malignancies in China and in the world. Surgery is still the most important modality to cure gastric cancer. A series of clinical researches changed the traditional concept of surgery and avoided blindly expanding the scope of surgery. Laparoscopic surgery for both early and locally advanced gastric cancer achieved the same radical effect as open surgery. The key to further improve the efficacy of minimally invasive surgery is controlling indications, establishing a training system for surgical techniques and optimizing the relation between costs and benefits. The relationship between resection of organs and preservation of organ function should be balanced in the extended surgery for gastric cancer. Perioperative treatment of locally advanced gastric cancer would be advocated actively. Conversion therapy preoperatively for far-advanced gastric cancer is advocated. Palliative resection should be strictly controlled for the patients of far-advanced gastric cancer with extensive metastasis, and comprehensive treatment should be carried to prolong the life of patients.

Cite this article

ZHU Zhenggang . Progress and prospect of surgical comprehensive treatment of gastric cancer[J]. Journal of Surgery Concepts & Practice, 2023 , 28(01) : 1 -6 . DOI: 10.16139/j.1007-9610.2023.01.01

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