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随着中国早期胃癌比例增加，局部进展期胃癌预后改善，以及患者对术后生活质量要求的相应提高，胃功能重建手术和功能保留手术已成为学术界的关注重点。胃的主要生理功能包括生理通道、储存食物和初步消化等。不同的手术方式可以在一定程度上实现保留或重建不同的生理功能。功能重建手术生活质量评价标准的制定，以及功能保留手术肿瘤根治性的验证是亟待解决的问题。中国学者应该未雨绸缪，积极关注与开展胃癌功能重建及功能保留手术方面的相关研究和临床工作，以争取为患者带来更好的生活质量。

The proportion of early gastric cancer is rising and the prognosis of locally advanced gastric cancer is improved in China in recent years. To meet the patients' increasing demand for quality of life, function reconstruction and preserving surgery become our focus. The main physiological functions of the stomach include the maintenance of gastrointestinal continuity, the storage of chyme and initial digestion. With different kinds of surgery, these physiological functions can be partly reconstructed or preserved. However, the main challenge we are facing is the lack of evidence. To set an objective method to evaluate the quality of life for function reconstruction surgery and to verify the oncological efficacy of function preserving surgery are the problems we need to solve. Conducting related studies to lay the foundation for function reconstruction and preserving surgery is an important future direction for Chinese surgeons.