不断推进中国腹腔镜胃癌外科手术规范化  

Promoting the standardization of laparoscopic surgery for gastric cancer in China continuously

作　　者：季加孚[1] 苏昊 季科[1] Ji Jiafu;Su Hao;Ji Ke(Department of Gastrointestinal Surgery,Key laboratory of Carcinogenesis and Translational Research(Ministry of Education),Peking University Cancer Hospital&Institute,Beijing 100142,China)

机构地区：[1]北京大学肿瘤医院,北京市肿瘤防治研究所,教育部恶性肿瘤发病机制及转化重点实验室,胃肠肿瘤中心,北京100142

出　　处：《中华普外科手术学杂志（电子版）》2023年第4期355-359,共5页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：北京市科技计划课题(A001672);北京市卫生和计划生育委员会-北京市属医学科院所公益发展试点项目(2019-01);国家自然科学基金联合基金重点课题(U20A20371)。

摘　　要：腹腔镜手术在我国已经成为胃癌外科治疗的发展方向,一系列高质量的临床研究证实了腹腔镜手术治疗早期胃癌及进展期胃癌的安全性和有效性,其适应证逐步规范并渐趋共识。根据国人胃癌淋巴结转移特点规范淋巴结清扫范围,综合多方面因素合理选择消化道重建方式,重视标本的规范化外科处理以及逐步规范新技术新方法的操作流程,有利于精准判断患者病情、改善患者预后及减少围手术期相关并发症,对不断推进我国腹腔镜胃癌外科规范化水平意义深远。Laparoscopic surgery has become the development direction of surgical treatment for gastric cancer in China.A series of high-quality clinical studies have confirmed the safety and effectiveness of laparoscopic surgery in the treatment of early and advanced gastric cancer,and its indications have gradually standardized and reached a consensus.Standardizing the dissections scope of lymph nodes according to the characteristics of lymph node metastasis of gastric cancer in China,selecting the reconstruction method of digestive tract rationally based on various factors,paying attention to the standardized surgical treatment of specimens and gradually standardizing the operation process of new technologies and methods are conducive to accurately judging the patient's condition,improving the patient's prognosis and reducing perioperative complications.It is of far-reaching significance to continuously promote the standardized level of laparoscopic surgery for gastric cancer in China.

关 键 词：胃肿瘤 用腹腔镜 规范化 

分 类 号：R735.2[医药卫生—肿瘤]