As the
diagnosis rate of early
gastric cancer is increasing annually, the current hot spot in the
treatment of early
gastric cancer is how to better preserve the anatomical structure and physiological function of the
stomach and improve the
quality of life of
patients after
surgery under the premise of
tumor eradication. Therefore, function-preserving
gastrectomy has been the trend of surgical
treatment for early
gastric cancer. It is not just a modified
gastrectomy, but a better combination of improved surgical
techniques and the concept of function-preserving
treatment, rather than being limited to traditional surgical
treatments. Currently, the routine function-preserving
gastrectomy mainly includes
pylorus-preserving
gastrectomy, proximal
gastrectomy and partial
gastrectomy combined with
endoscopy. In addition, with the deeper
understanding of
metastasis pattern of
gastric cancer and the development and popularization of minimally invasive
techniques, laparoscopic and endoscopic cooperative
surgery is gradually gaining
attention. The application of laparoscopic and endoscopic
hybrid surgery combined with
sentinel lymph node navigation is anticipated in the
treatment of early
gastric cancer.