引用文本：戴伟钢, 许诗语, 宋新明. 第7版《日本胃癌治疗指南》手术治疗部分内容解读[J/CD]. 消化肿瘤杂志（电子版）, 2025, 17(2):115-123.

作者：戴伟钢，许诗语，宋新明

单位：中山大学附属第一医院 胃肠外科中心，广东 广州 510080

Authors：Dai Weigang, Xu Shiyu, Song Xinming

Unit：Gastrointestinal Surgery Center, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong, China

摘要：

胃癌在我国恶性肿瘤中发病率排名第五，死亡率排名第三，是我国常见的消化道恶性肿瘤。它不仅严重威胁着人民生命，也给我国带来沉重的医疗负担。随着新的靶向治疗和免疫治疗药物的不断研发与应用，胃癌诊治已经进入到分子诊疗时代。但是，外科治疗仍然是治愈胃癌的重要手段之一。规范的淋巴结清扫和合理的手术方式，将有效提高患者生活质量和延长生存期。日本作为胃癌高发病率国家，一直以来在胃癌诊治领域处于世界领先地位。因此，第7版《日本胃癌治疗指南》对于我国而言具有很好的借鉴价值。本文详细解读了第7版《日本胃癌治疗指南》手术治疗部分的内容，期待它能够起到抛砖引玉的作用并且造福更多胃癌患者。

关键词：胃癌；指南；淋巴结清扫；手术

Abstract：

Gastric cancer ranks fifth in the incidence rate and third in the mortality among malignant tumors in China. It is a common malignant tumor of digestive tract in China. It not only poses a serious threat to people's lives, but also brings a heavy medical burden to our country. With the continuous development and application of new targeted therapies and immunotherapy drugs, the diagnosis and treatment of gastric cancer has entered the molecular era. However, surgical treatment remains one of the important methods for curing gastric cancer. Standardized lymph node dissection and reasonable surgical methods will effectively improve patients' quality of life and prolong their survival period. As a country with a high incidence of gastric cancer, Japan has always been at the world's leading position in the field of gastric cancer diagnosis and treatment. Therefore, the 7th edition of the Japanese gastric cancer treatment guidelines has great reference value for China. This article provides a detailed interpretation of the surgical treatment section of the 7th edition of the Japanese gastric cancer treatment guidelines, hoping to inspire more clinical doctors and benefit more gastric cancer patients.

Key words：Gastric cancer; Guideline; Lymphadenectomy; Operation

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