局部进展期胃癌腹腔镜手术胃切除范围的质量化控制  

Quality control of gastric resection range in laparoscopic locally advanced gastric cancer

作　　者：郑华龙 卫凌华 陆俊[1] 黄昌明[1] Zheng Hualong;Wei Linghua;Lu Jun;Huang Changming(Department of Gastric Surgery,Fujian Medical University Union Hospital,Fu Zhou 350001,China)

机构地区：[1]福建医科大学附属协和医院胃外科,福州350001

出　　处：《中华胃肠外科杂志》2024年第2期143-147,共5页Chinese Journal of Gastrointestinal Surgery

基　　金：福建省医疗“创双高”建设项目(闽卫医政〔2021〕76号);第二批福建省卫生健康中青年领军人才研修培养项目(闽卫医政〔2023〕26号)。

摘　　要：经过近30年的探索与实践,以腹腔镜手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。在中国,局部进展期胃癌腹腔镜根治术得到广泛开展,然而,针对进展期胃癌胃切除范围和方式尚存争议。笔者查阅国内外相关指南文献,结合团队实践经验,从手术适应证、肿瘤定位、胃上部和中部及下部肿瘤切除范围等方面阐述腹腔镜局部进展期胃癌胃切除范围的质量控制要点,旨在为更加规范地开展并推广腹腔镜胃癌根治手术提供参考。After nearly 30 years of exploration and practice,minimally invasive surgical techniques represented by laparoscopic technology have become an important means for the surgical treatment of gastric cancer.In China,laparoscopic radical resection for locally advanced gastric cancer has been extensively carried out.However,there are still controversies regarding the gastric resection range and methods for advanced gastric cancer.By reviewing relevant domestic and foreign guideline documents and combining team practice experience,this article elaborates on the key points of quality control of laparoscopic gastric resection range for locally advanced gastric cancer from aspects such as tumor localization and gastric resection range for upper,middle and lower gastric tumors.It aims to provide reference for carrying out and promoting laparoscopic radical gastrectomy more safely.

关 键 词：胃肿瘤 进展期 腹腔镜胃癌根治术 质量化控制 微创外科 

分 类 号：R735.2[医药卫生—肿瘤]