日版胃癌规约

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1、GastricCancer(2011)14:113–123DOI10.1007/s10120-011-0042-4SPECIALARTICLEJapanesegastriccancertreatmentguidelines2010(ver.3)JapaneseGastricCancerAssociationPublishedonline:14May2011ÓTheInternationalGastricCancerAssociationandTheJapaneseGastricCancerAssociati

2、on2011Thedescriptionoftumorstatus(T/N/Mandstage)inthis–Laparoscopicgastrectomyguidelineisbasedonthe3rdEnglisheditionoftheJapa-–LocaltumorresectionneseClassificationofGastricCarcinoma[1]whichis–Neoadjuvantchemotherapyidenticaltothatinthe7theditionoftheIntern

3、ational–AdjuvantchemotherapyusingagentsotherthanS-1UnionAgainstCancer(UICC)/TNM.–Neoadjuvantchemoradiotherapy–Adjuvantchemoradiotherapy–Debulkingsurgery.1Treatments1.1Algorithmofstandardtreatments2Surgerytoberecommendedinclinicalpractice2.1Typesanddefinitio

4、nsofgastricsurgeryThealgorithmisshownonthefollowingpage.2.1.1Curativesurgery1.2Investigationaltreatments2.1.1.1StandardgastrectomyStandardgastrectomyistheThefollowingtreatmentsshowpromisebutareasyettobeprincipalsurgicalprocedureperformedwithcurativeestabli

5、shedasstandard.Theyshouldbeprospectivelyintent.Itinvolvesresectionofatleasttwo-thirdsoftheevaluatedinappropriateclinicalresearchsettings.PatientstomachwithaD2lymphnodedissection.consentforinvestigationaltreatmentsshouldbesoughtandtherationalebehindthemgive

6、n(RefertotheSect.62.1.1.2Non-standardgastrectomyInnon-standardgas-‘‘Commentaryoninvestigationaltreatments’’fordetails).trectomy,theextentofgastricresectionand/orlymphade-Thefollowingconstituteinvestigationaltreatments:nectomyisalteredaccordingtothetumorcha

7、racteristics.–Endoscopicsubmucosaldissectionunderexpanded2.1.1.2.1ModifiedsurgeryTheextentofgastricresec-criteriationand/orlymphadenectomyisreducedcomparedtostandardsurgery.Theonlineversionoftheprefatoryarticlereferredtointhisarticle2.1.1.2.2Extendedsurgery

8、(1)Gastrectomywithcom-canbefoundunderdoi:10.1007/s10120-011-0040-6.binedresectionofadjacentinvolvedorgans.(2)Gastrec-tomywithextendedlymphadenectomyexceedingD2.Englisheditioneditors:TakeshiSano(&),YasuhiroKod