免气腹腹腔镜辅助胃癌手术的现状与未来  

The current situation and future of gasless laparoscopy assisted gastric cancer surgery

作　　者：汪亦民 薛英威[1] Wang Yimin;Xue Yingwei(Department of Gastroenterology,Harbin Medical University Cancer Hospital,Harbin 150080,Heilongjiang,China)

机构地区：[1]哈尔滨医科大学附属肿瘤医院胃肠外科,黑龙江哈尔滨150080

出　　处：《消化肿瘤杂志(电子版)》2025年第1期16-22,共7页Journal of Digestive Oncology(Electronic Version)

摘　　要：免气腹装置应用于腹部外科微创手术已有30余年历史,其设计初衷是保护高危人群免于CO2人工气腹造成的副损伤。胃癌微创手术领域也有国内外同行在不断尝试免气腹手术,但鲜有推广应用的报道。本文系统性回顾了免气腹腹腔镜技术在胃癌手术中的发展历程和应用现状,同时也结合哈尔滨医科大学附属肿瘤医院开展370例免气腹腹腔镜辅助胃癌手术的相关经验,围绕免气腹手术的优势和技术可行性,探讨该技术所面临的核心问题,阐述其临床价值和意义。Thegaslesslaparoscopic approach hasbeen utilized in minimally invasiveabdominal surgery for over 30 years,initially developed to mitigate complications of CO2 pneumoperitoneum in high-risk populations.Within the field of minimally invasive gastric cancer surgery,both domestic and international surgeons have persistently explored gasless techniques,yet widespread clinical adoption remains limited.This article systematically reviews the historical evolution and current applications of gasless laparoscopy in gastric cancer surgery.Furthermore,by integrating the institutional experience of 370 gasless laparoscopy-assisted gastric cancer surgeries performed at Harbin Medical University Cancer Hospital,we critically examine the technical challenges associated with this method,with particular focus on its procedural advantages and technical feasibility.The article also elaborates on the clinical value and significance of gasless approaches.

关 键 词：腹腔镜 免气腹腹腔镜 胃癌 

分 类 号：R73[医药卫生—肿瘤]