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Gastric cancer surgery in South Korea: Past, present, and future

Chinese Journal of Cancer Research 2023年第6期35卷 627-635页

作者： Sung Gon Kim Sang Eok Lee Bang Wool Eom Hong Man Yoon Young-Woo Kim Keun Won Ryu Department of surgery Konyang University HospitalDaejeon 35365Republic of Korea Center for Gastric Cancer Research Institute&HospitalNational Cancer CenterGoyang-si 410-769Republic of Korea

Gastric cancer remains a significant global health concern and its surgical management approaches have undergone significant changes in South Korea and worldwide. Subtotal or total gastrectomy with D2 lymph node dissection is well established as a standard surgical procedure for gastric cancer. With the active implementation of cancer screening in South Korea, the proportion of early gastric cancer cases has significantly increased over the past few decades, leading to a steady increase in the survival rate among patients. Furthermore, recent advances in surgical instruments and techniques have made minimally invasive surgery increasingly prevalent, not only for early but also for advanced gastric cancer. We aim to provide a comprehensive overview of the evolution and current status of gastric cancer surgery in South Korea.

关键词： function-preserving surgery gastric cancer minimally invasive surgery surgery

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Current indications for endoscopic submucosal dissection of early gastric cancer

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World Journal of Gastrointestinal Oncology 2021年第6期13卷 560-573页

作者： Zhi Zheng Jie Yin Xiao-Ye Liu Xiao-Sheng Yan Rui Xu Meng-Yi Li Jun Cai Guang-Yong Chen Jun Zhang Zhong-Tao Zhang Department of General surgery Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China Department of Pathology Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China

The development of endoscopic treatment technology has further promoted the minimally invasive treatment of early gastric cancer(EGC).Endoscopic treatment has achieved better therapeutic effects in terms of safety and prognosis and is the preferred treatment method for patients who meet the indications for endoscopic ***,the consequent problem is that some patients receiving endoscopic treatment may undergo non-curative resection,and the principle of follow-up management for non-curative resection patients deserves further *** addition,there are still debates on how to improve the accuracy of clinical staging,select a reasonable treatment method for patients who meet the expanded indications for endoscopic treatment,manage patients with positive endoscopic surgical margins,conduct research on function-preserving surgery,and manage the treatment of EGC under the current situation in ***,we aim to review current indications for endoscopic submucosal dissection of EGC in order to better inform treatment options.

关键词： Early gastric cancer Endoscopic submucosal dissection indications Noncurative resection Salvage surgery function-preserving surgery

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Recent updates and current issues of sentinel node navigation surgery for early gastric cancer

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Chinese Journal of Cancer Research 2021年第2期33卷 142-149页

作者： Sung Gon Kim Bang Wool Eom Hong Man Yoon Chan Gyoo Kim Myeong-Cherl Kook Young-Woo Kim Keun Won Ryu Center for Gastric Cancer Research Institute&HospitalNational Cancer CenterGoyang-si 410-769Republic of Korea

With the increase in the incidence of early gastric cancer(EGC),several endoscopic and laparoscopic approaches,such as endoscopic submucosal dissection and function-preserving gastrectomy,have been accepted as standard *** node navigation surgery(SNNS)is an ideal surgical option for preservation of most parts of the stomach and consequent maintenance of normal gastric function to improve quality of life in patients with *** many previous studies and clinical trials have demonstrated the safety and feasibility of the sentinel node concept in gastric cancer,the clinical application of SNNS is *** issues regarding technical standardization and oncological safety need to be *** several studies to resolve these problems are being actively performed,and SNNS might be an important surgical option in the treatment of gastric cancer in the future.

关键词： Sentinel node navigation surgery function-preserving surgery early gastric cancer SENORITA

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Surgical treatment of gastric cancer:Current status and future directions

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Chinese Journal of Cancer Research 2021年第2期33卷 159-167页

作者： Jiahui Chen Zhaode Bu Jiafu Ji Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education/Beijing) Center of Gastrointestinal CancerPeking University Cancer Hospital&InstituteBeijing 100142China

surgery is the most important and effective method for the treatment of gastric *** the first gastrectomy in the early 19th century,surgical treatment of gastric cancer has undergone more than 100 years of *** the increasing understanding of gastric cancer and the promotion of a series of clinical trials,the concept of gastric cancer surgery has evolved from the initial"bigger is better"to today’s"standardized surgery"and is developing towards individualized surgery focusing on accurate resection and quality of *** trend has had a tremendous impact on the development of surgical treatments,such as minimally invasive surgeries,functionpreserving surgeries,and the optimal extent of lymph node *** the development and current status of gastric cancer surgery and exploring the remaining academic controversies are goals that every gastric surgeon should constantly ***,how should gastric cancer surgery develop in the future?What opportunities and challenges will we encounter?In this review,we elaborate on the development and current status of gastric cancer surgery based on a series of clinical studies and discuss the controversy in the development of gastric cancer surgery.

关键词： Gastric cancer surgical treatment minimally invasive surgery function-preserving surgery lymph node dissection review

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