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日本胃癌的发病率居世界首位,但其根治手术后的5年生存率已超过60%,和50年代以前相比至少提高了2倍。疗效提高的主要原因,一是由于早期胃癌诊断率的提高,二是由于对进行期胃癌进行广泛的淋巴结清除术,即所谓R_2 和R_3 根治手术已成为定型手术。我国的许多单位也开展了这类手术。本文拟结合日本文献探讨一下早期胃癌、进行期胃癌、食道浸润性胃癌的手术治疗以及合并脾切除术的合理设计问题.早期胃癌的手术处理早期胃癌手术治疗能达到治愈的目的。手
The incidence of gastric cancer in Japan ranks first in the world, but its 5-year survival rate after radical surgery has exceeded 60%, and it has increased at least twice as compared with that before the 1950s. The main reasons for the improvement of curative effect are due to the increase in the diagnostic rate of early gastric cancer, and secondly, due to extensive lymph node dissection for advanced gastric cancer, the so-called radical resection of R_2 and R_3 has become a stereotyped operation. Many units in our country have also carried out such surgeries. This article intends to explore the design of early gastric cancer, advanced gastric cancer, esophageal invasive gastric cancer, and reasonable design of splenectomy combined with Japanese literature. Early gastric cancer surgical treatment Early gastric cancer surgical treatment can achieve the purpose of cure. hand