How surgical treatment of advanced gastric cancer

So far, in our clinical surgery of gastric cancer treated by the patients, the proportion of advanced gastric cancer remains high. Therefore, how can this part of the surgical patients choose a suitable way to further extend the bottom-up period, relieve pain and also an important issue. Based on China's national coordination team of gastric cancer staging, Ⅳ gastric cancer diagnosis the following three criteria: 1, tumor invasion and the serosal involvement was peripheral organs or leather-like stomach; 2, of the lymph nodes have been positive; 3, distant metastasis. According to Ruijin Hospital 1,881 cases of gastric cancer cases, the first stage Ⅳ eloquence for expansion after five years of bottom-up rate of 8.92 percent, and the same period for the first stage Ⅳ cases of gastric resection of those under five years since and the rate of expansion than those for the gifted resection, the patients with advanced gastric cancer should not be used as the object of extended operation, and should, as appropriate, for the corresponding relatively simple surgery. Recently, China's first clinical Bethune Medical University School of surgery on 310 cases of advanced gastric cancer surgery treatment of reported that the advanced gastric cancer surgery positive significance is as follows: 1, lifting patients pain and mental burden, improve body; 2, in the main Aikuai was excised circumstances, can chemotherapy, immunotherapy, such as in the kill residual cancer organizations by the greater Jiu 3, as all the biological characteristics of gastric cancer is not the same, there are a few cases expert palliative surgery can obtain long-term survival; 4, a much more active for a check resection rate and improve the survival rate may be. The choice of surgical methods are: 1, such as systemic and local circumstances permit, and strive to resection of the primary tumor and lymph nodes near stomach to reduce tumor tissue day, postoperative chemotherapy for a favorable condition for 2, as local circumstances do not permit for the mass excision and have obstructive symptoms, for a shortcut anastomosis.