腹腔镜胃癌手术操作指南(2023版)  

Guideline for laparoscopic gastrectomy for gastric cancer(2023 edition)

作　　者：中华医学会外科学分会腹腔镜与内镜外科学组 中国研究型医院学会机器人与腹腔镜外科专业委员会 中国抗癌协会腔镜与机器人外科分会 中国医学装备协会腔镜与微创技术分会 郑民华[2] 余佩武 臧璐[4] 马君俊[4] 赵永亮 赵轩[4] 张鲁阳[4] Chinese Society of Laparoscopic and Endoscopic Surgery,Chinese Surgical Society,Chinese Medical Association;Robotic and Laparoscopic Surgery Committee of Chinese Research Hospital Association;Endoscopic and Robotic Surgical Society,China Anti-Cancer Association;Endoscopy and Minimally Invasive Technology Society,China Association of Medical Equipment;Zheng Minhua;Yu Peiwu(不详;Department of General Surgery and Gastrointestinal Surgery,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai Minimal Invasive Surgery Center,Shanghai 200025,China;Department of General Surgery,the First Affiliated Hospital of Army Medical University,Chongqing 400038,China)

机构地区：[1]不详 [2]海交通大学医学院附属瑞金医院普通外科胃肠外科上海市微创外科临床医学中心,上海200025 [3]陆军军医大学第一附属医院普通外科,重庆400038 [4]上海交通大学医学院附属瑞金医院 [5]陆军军医大学第一附属医院

出　　处：《中华消化外科杂志》2023年第4期425-436,共12页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金(82072614);上海市申康医院发展中心促进市级医院临床技能与临床创新三年行动计划(SHDC2020CR3034B);上海市临床重点专科建设项目(shslczdzk00102)。

摘　　要：以腹腔镜技术为代表的微创外科技术是目前胃癌外科治疗的重要手段。随着近年越来越多高质量临床研究的开展和结果公布,腹腔镜技术在胃癌手术治疗的适应证得到了更多的循证医学支持,并在新辅助治疗患者、晚期胃癌转化治疗患者等多个方面进行了积极探索。此外,腹腔镜胃癌外科亦在淋巴结清扫及手术切除范围、全腹腔镜手术、保留幽门的胃切除、近端胃切除的消化道重建、淋巴结示踪等多方面具有较大进展。基于《腹腔镜胃癌手术操作指南(2016版)》,结合近年研究热点及高等级循证医学成果,以临床证据为基础,以临床问题为导向,再次修订更新形成《腹腔镜胃癌手术操作指南(2023版)》。Minimally invasive surgical techniques,represented by laparoscopic techniques,are currently an important tool in the surgical treatment of gastric cancer.With the development of more and more high-quality clinical research and the publication of results in recent years,the indications for laparoscopic techniques in the surgical treatment of gastric cancer have received more evidence-based medical support and have been actively explored in many aspects,such as patients receiving neoadjuvant treatment and patients with advanced gastric cancer receiving translational treatment.In addition,laparoscopic gastric cancer surgery has made great progress in lymph node dissection and surgical resection scale,total laparoscopic surgery,pylorus-preserving gastrectomy,gastrointestinal reconstruction after proximal gastrectomy,and lymph node tracing.Based on the Guideline for Laparoscopic Gastrectomy for Gastric Cancer(2016 Edition),and combined with recent research hotspots and high-grade evidence-based medical results,the Guideline for Laparoscopic Gastrectomy for Gastric Cancer(2023 Edition)is revised and updated based on clinical evidence and oriented to clinical problems.

关 键 词：胃肿瘤 腹腔镜 全腹腔镜 消化道重建 

分 类 号：R735.2[医药卫生—肿瘤]