引用文本：白飞, 谭诗严, 王伟, 等. 第7版《日本胃癌治疗指南》外科部分更新要点解读[J/CD]. 消化肿瘤杂志（电子版）, 2025, 17(2):124-132.

作者：白飞¹，谭诗严²，王伟³，李胜⁴

单位：1.湖南省肿瘤医院胃十二指肠胰腺外科，湖南 长沙 410013；2.株洲市二医院普外科，湖南　株洲　412005；3.湖南省肿瘤医院消化泌尿内二科，湖南　长沙　410013；4.邵阳市中心医院胃肠外科，湖南　邵阳　422000

Authors：Bai Fei¹, Tan Shiyan², Wang Wei³, Li Sheng⁴

Unit：1. Department of Gastroduodenal and Pancreatic Surgery, Hunan Cancer Hospital, Changsha 410013, Hunan, China; 2. Department of General Surgery, the Second Hospital of Zhuzhou, Zhuzhou 412005, Hunan, China; 3. Department of Gastroenterology and Urology Ⅱ, Hunan Cancer Hospital, Changsha 410013, Hunan, China; 4. Department of Gastrointestinal Surgery, the Central Hospital of Shaoyang, Shaoyang 422000, Hunan, China

摘要：

日本胃癌学会第7版《日本胃癌治疗指南》在外科治疗、内镜治疗、化学治疗、姑息治疗等方面进行了更新。在外科领域，新增了转化手术、胃次全切除术，扩大了侵犯十二指肠时的淋巴结清扫范围及新增联合脏器切除的推荐，更新了微创手术的推荐级别等。本文结合现有循证医学证据，就上述外科部分的更新进行详细解读，为未来临床工作提供更为科学的指导。

关键词：胃癌；指南；外科

Abstract：

The 7th edition of Japanese gastric cancer treatment guidelines issued by the Japanese Gastric Cancer Society has been updated in aspects such as surgical treatment, endoscopic treatment, chemotherapy, and palliative care. In the field of surgery, conversion surgery and subtotal gastrectomy have been added, the extent of lymph node dissection and combined organ resection with duodenal invasion has been expanded or added, and the recommended level of minimally invasive surgery has been updated. This article provides a detailed interpretation of the updates based on existing evidence-based medicine, in order to offer more scientific guidance for future clinical work.

Key words：Gastric cancer;　Guideline;　Surgery

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