Can gastric cancer be minimally invasive surgery?

Can gastric cancer be minimally invasive surgery?

Can gastric cancer be treated with minimally invasive surgery? With the improvement of modern living standards, everyone likes to go out to eat, such as barbecue. Although delicious, it has a heavy burden on our stomachs, which causes some people to suffer from stomach diseases and even develop into gastric cancer. Can gastric cancer be treated with minimally invasive surgery?

Can gastric cancer be minimally invasive surgery 1

Can gastric cancer be minimally invasive surgery?

1, and the scope of radical resection follows the principle of open surgery. Early gastric cancer without lymph node metastasis underwent D 1 or D 1+ gastrectomy. The surgical scope of early gastric cancer with regional lymph node metastasis or locally advanced gastric cancer should include ≥2/3 gastrectomy and D2 lymph node dissection.

2, the scope of gastrectomy, the gastric margin of localized gastric cancer should be more than 3 cm away from the tumor, and the gastric margin of invasive gastric cancer should be more than 5 cm away from the tumor. The esophageal margin of cancer at the junction of esophagus and stomach should be more than 3 cm away from the tumor. When the margin is suspicious, frozen section pathological examination should be carried out during operation. For the tumor invading pyloric canal, the duodenal margin should be more than 3 cm away from the tumor. Patients with early gastric cancer can consider preserving vagus nerve or pylorus when conditions permit.

Preoperative preparation for minimally invasive gastric cancer

1, passed the examination of CT, EUS and barium contrast. To determine the tumor site? Range? Staging? Whether there is invasion of esophagus and adjacent tissues; Check and understand the distant metastasis of abdominal cavity and liver and retroperitoneal mesenteric lymph node enlargement; Accurately evaluate and reasonably handle the accompanying diseases that may affect the operation, such as hypertension, coronary heart disease, diabetes, respiratory dysfunction, liver and kidney diseases, etc.

2. Correct anemia, hypoproteinemia and water? Electrolyte? The imbalance of acid-base metabolism improves the nutritional status of patients; Patients with pyloric obstruction need gastric lavage before operation to correct hypoproteinemia in order to reduce edema; Eat liquid food 1 day before operation, fast on the day of operation, place stomach tube and empty stomach contents; Preventive use of antibiotics.

After the above answer about whether minimally invasive surgery can be done for gastric cancer, everyone has a certain understanding of this topic, but I still suggest that even if you sometimes have mouth addiction in real life, you should eat food under the premise of health and not bring too much burden to your stomach. If you have physical problems, you still need to see a doctor.

Can gastric cancer be treated with minimally invasive surgery? Gastric cancer surgery can be treated by minimally invasive surgery, but it should be considered according to the specific situation of patients. First of all, there are generally two kinds of minimally invasive treatment, one is endoscopic minimally invasive, such as endoscopic mucosal resection, and the other is laparoscopic treatment of gastric cancer. Differentiated mucosal carcinoma with diameter less than 2 cm and no ulcer can be treated by laparoscopy, and some indications can also be treated by laparoscopy, such as differentiated mucosal carcinoma with diameter greater than or equal to 2 cm and no ulcer, or differentiated mucosal carcinoma with ulcer but less than 3 cm in diameter. Once there is blood vessel or lymphatic vessel infiltration, it is not suitable for endoscopic treatment, so which treatment method to choose depends on the specific situation.