Minimally invasive surgery for stomach cancer, will it not be clean?

Preface: Now the development of medical technology is also very rapid, gastric cancer patients can choose their own method, minimally invasive surgery is the most suitable method at present, can achieve the most appropriate resection, using this surgical method, the patient's recovery speed will be faster, the time of hospitalization will be shorter, and the surgical incision is very beautiful, the current surgical method to remove gastric cancer is relatively clean.

Nowadays, some people suffer from stomach cancer due to poor eating habits, and when performing minimally invasive surgery, we should also pay attention to our physical condition and the severity of the disease, and choose the appropriate surgical method under the guidance of the doctor. Now minimally invasive surgery ** gastric cancer is a very suitable choice, this surgical method is also more conducive to the patient's health, if in the hospital after the diagnosis, must be timely **, to avoid aggravation of the condition, if the patient has no obvious contraindications to minimally invasive surgery, can be used minimally invasive surgery **.

This surgical method is welcomed by many gastric cancer patients, because the benefits of using this surgery are very many, and the damage to the body will be smaller. For patients with early gastric cancer, the current medical treatment can be done well, and it can also ensure that the resection is clean, and after the operation, it is necessary to go to the hospital for examination in time, so as to ensure whether there is any residue in the body, if the patient's gastric cancer surgery is not removed, it is necessary to have another surgery.

For patients with early gastric cancer, laparoscopic surgery can completely play a leading role, and the wound area is relatively small, which is very conducive to the recovery of the body, but when doing surgery, we must pay attention to going to a regular hospital for **, because professional doctors in regular hospitals will be more assured when doing surgery. If the patient's stomach cancer is more severe, the operation is not clean, and a comprehensive ** is required, and the patient should also undergo chemotherapy in time to avoid the aggravation of stomach cancer.

No, the current technology is quite developed, there will be no such situation, and the risk is relatively small.

No, the current medical technology is very advanced, and the removal effect of these things is very good, and it will not be unclean.

Can stomach cancer be minimally invasively surged, the modern standard of living is better, everyone likes to eat out, such as barbecue, etc., although it is delicious, but the burden on our stomach is relatively heavy, resulting in some people suffering from stomach disease, and severe cases develop into stomach cancer, so can stomach cancer be minimally invasive?

Can stomach cancer be treated with minimally invasive surgery?

1. The scope of surgical ** resection follows the principle of laparotomy. D1 or D1+ gastrectomy for early-stage gastric cancer without lymph node metastasis; The scope of surgery for early-stage gastric cancer with regional lymph node metastasis or locally advanced gastric cancer should include resection 2 3 gastric and d2 lymph node dissection.

2. The scope of gastric resection should be 3cm away from the tumor for localized gastric cancer and 5cm from the tumor for invasive gastric cancer. The esophageal margin of esophagogastric junction cancer should be 3cm away from the tumor, and intraoperative rapid frozen section pathology should be performed when the margin is suspicious. For tumors that invade the pyloric canal, the duodenal margin should be 3 cm from the tumor.

When patients with early-stage gastric cancer are eligible, function-sparing surgeries such as vagus nerve preservation or pylorus preservation can be considered.

Minimally invasive preoperative preparation for gastric cancer

1. Determine the tumor location through CT, EUS, barium regression and other examinations. Range? By stages?

presence of esophageal and adjacent tissue invasion; Examination to understand the status of distant metastases such as abdominal cavity and liver and retroperitoneal mesenteric lymphadenopathy; Accurately assess and reasonably manage concomitant diseases that may affect surgery, such as hypertension, coronary heart disease, diabetes, respiratory dysfunction, liver and kidney diseases, etc.

2. Correct anemia, hypoproteinemia and water? Electrolyte? Acid-base metabolic balance disorder, improve the nutritional status of patients; Patients with pyloric obstruction require preoperative gastric lavage to correct hypoproteinemia to reduce edema; Eat liquid food 1 day before surgery, fast on the day of surgery, place a gastric tube, and empty the gastric contents; Prophylactic antibiotics.

After the above on can you have minimally invasive surgery for gastric cancer, everyone has a certain understanding of this topic, but I still recommend that although you have to be addicted to it sometimes, you still have to eat food on the basis of health as the premise, do not put too much burden on your stomach, and go to the doctor if there is a problem in your body.

Gastric cancer surgery can be minimally invasive**, but it should be considered on a case-by-case basis. First of all, there are generally two types of minimally invasive**, one is endoscopic minimally invasive, such as endoscopic. Mucosal resection, etc., and then there is laparoscopic gastric cancer**, differentiated intramucosal carcinoma with a diameter of less than two centimeters without ulcers can be performed laparoscopically**, and there are also some indications that can also be laparoscopic**, such as differentiated intramucosal carcinoma without ulcers, with a diameter greater than or equal to two centimeters, or differentiated intramucosal carcinoma with ulcers but less than three centimeters in diameter.

Once there is vascular or lymphatic infiltration, it is not suitable for this fluid under endoscopy**, so the choice of ** method depends on the specific situation.

Disease analysis: Generally speaking, the early gastric cancer is small, no spread and metastasis, the most effective means is surgical resection, the 5-year survival rate after early gastric cancer resection can reach 60%-90%, and it is best to take traditional Chinese medicine within a certain period of time after surgery to prevent it and speed up the recovery of the patient's physical function. If there is residual disease, radiotherapy or chemotherapy combined with traditional Chinese medicine** can be used to eliminate residual cancer.

Suggestions: Therefore, for early gastric cancer, surgery is recommended**.

The prognosis of gastric cancer is related to the pathological stage, location, tissue type, biological behavior and measures of gastric cancer. The prognosis of early-stage gastric cancer is better after **. Cardia cancer and proximal gastric cancer on the stomach1 3 have a worse prognosis than carcinoma of the corpus and distal gastric body.

1.Surgery**.

1) **Sexual surgery.

The principle is to remove part or all of the stomach in its entirety, including the cancerous lesion and the potentially infiltrated stomach wall, and remove the lymph nodes around the stomach as a whole according to clinical staging criteria to reconstruct the digestive tract.

2) Palliative surgery.

Surgery performed to alleviate symptoms caused by complications such as gastrojejunostomy, jejunostomy, perforation, perforation repair, etc., due to complications such as obstruction, perforation, and bleeding of the primary lesion.

2.Chemotherapy. It is used for the preoperative, intraoperative, and postoperative aspects of sexual surgery to prolong survival.

Appropriate chemotherapy for patients with advanced gastric cancer can slow down the development of tumors and improve symptoms, which has certain short-term effects. In principle, adjuvant chemotherapy is not required after surgery for early-stage gastric cancer**, and adjuvant chemotherapy should be performed for those with the following conditions: the pathological type has a high degree of malignancy; The area of the cancer is greater than 5 cm; multiple cancers; Age less than 40 years.

Patients with advanced gastric cancer** need chemotherapy after surgery, after palliative surgery, and **after surgery**.

Commonly used routes of administration of chemotherapy for gastric cancer include oral administration, intravenous administration, intraperitoneal cavity administration, and perfusion administration in the arterial cannulation area. Commonly used oral chemotherapy drugs include tegafur, eufudine, fluferron, etc. Commonly used intravenous chemotherapy drugs include fluorouracil, mitomycin, cisplatin, doxcophar, etoposide, calcium formyltetrahydrofolate, etc.

In recent years, new chemotherapy drugs such as paclitaxel, platinum oxalate, topoenzyme inhibitors, and heroida have been used for gastric cancer,3Other**.

Including radiotherapy, hyperthermia, immunity**, traditional Chinese medicine**, etc. Immunity for gastric cancer** includes non-specific biological response modulators such as BCG, lentinan polysaccharides, etc.; cytokines such as interleukin, interferon, tumor necrosis factor, etc.; and the clinical application of adoptive immunity** such as lymphocyte killer cells (IAK) after lymphocyte activation, tumor-infiltrating lymphocytes (TILs), etc. Anti-angiogenic genes are the most studied genetic methods and may play a role in gastric cancer.

Gastric resection is the most important method for gastric cancer patients, and at present, patients with early gastric cancer should be subjected to surgical resection, which is the only method that may cause gastric cancer. However, experts from the China Bio-Anti-Cancer Network for patients with advanced gastric cancer emphasized that patients should not undergo surgery, because surgery will cause the spread and metastasis of the tumor, which will promote the further deterioration of the condition. So what should we do for advanced stomach cancer?

Let's take a look at what the experts of the China Biological Anti-Cancer Network have to say.

The extent of gastric cancer resection is determined according to the different parts and types of gastric cancer, the distance from the upper and lower invasion of the stomach wall, and the distance from the invasion of antral cancer to the duodenum and the invasion of cardia cancer to the esophagus. Whether to resect gastric cancer by major gastrectomy, near-total gastrectomy or total gastrectomy must be strictly grasped and the rules must be followed. Therefore, the correct application of total gastrectomy and proximal majority gastrectomy is an important advance for gastric cancer**.

After gastric cancer occurs, lymph node metastasis is often caused by tumor cells. Therefore, how to completely remove the affected lymph nodes is an important part of improving the rate of gastric cancer. But on the other hand, the lymph nodes are the body's defense against the spread of cancer.

Non-metastatic lymph nodes should not be removed during surgery. As a surgical procedure for gastric cancer, the scope of surgery is inevitably expanded in order to remove lymph nodes, increasing the risk of surgery. Moreover, it is very difficult to identify lymph node metastasis during surgery, and some even have skipping lymph node metastasis.

After a large number of clinical practices, it has been found that gastric cancer surgery combined with biological immunity** can effectively remove residual cancer cells after surgery, prevent the spread and metastasis of gastric cancer after surgery, and at the same time preserve the defense barrier of gastric cancer and the lymph nodes that have not metastasized.

Early gastric cancer Regardless of the size, early lesions are confined to the mucosa and submucosa. It can be divided into three types: raised (polyp), superficial (gastritis) and depressed (ulcer).

Problem analysis: The most critical factor in the prognosis of gastric cancer is the stage of the tumor, the earlier it is detected and the sooner it is surgically removed, the better the prognosis, and now in Japan, the first rate of gastric cancer can reach more than 90%.

Suggestion:

So you don't have to be too nervous, as long as you have surgery as soon as possible, and you will get better after the surgery.