双镜(腹腔镜和内镜)联合在胃功能保护手术中应用的临床价值  

Clinical significance of laparoscopic and endoscopic cooperative surgery in function preserving gastrectomy

作　　者：孙伟峰 梁品[1] Sun Weifeng;Liang Pin(Department of Gastrointestinal Surgery,the First Affiliated Hospital of Dalian Medical University,Dalian 116011,China)

机构地区：[1]大连医科大学附属第一医院胃肠外科,大连116011

出　　处：《中华胃肠外科杂志》2025年第2期145-149,共5页Chinese Journal of Gastrointestinal Surgery

摘　　要：随着医疗技术向精准化、个体化发展, 胃功能保护及患者的术后生活质量越来越受到外科医生的关注和重视。在保留功能胃切除术蓬勃发展的背景下, 腹腔镜与内镜联合应用技术也呈现出多样性和创新性的发展趋势。腹腔镜和内镜联合应用不仅可以弥补两者的局限性, 更能在精准定位、缩小胃的切除范围、保留胃的解剖结构及功能、保留胃壁连续性、精准淋巴结清扫和保留迷走神经等方面发挥其在胃功能保护手术中的价值。笔者对双镜联合手术的优势和适用范围进行了阐述, 认可了双镜联合手术在未来发展中的临床价值。With the development of medical technology towards precision and individualization,the protection of gastric function and the postoperative quality of life of patients are increasingly receiving the attention and emphasis of surgeons.In the context of the booming development of function-preserving gastrectomy,the combined approach using both laparoscopy and endoscopy also presents a trend of diversity and innovation.The laparoscopic and endoscopic cooperative surgery not only addresses for the limitations of each method,but also plays a role in locating the tumor precisely,narrowing the scope of gastrectomy,preserving the anatomical structure and function of the stomach,maintaining the continuity of the gastric wall,precise lymphadenectomy,and preserving the vagus nerve in function-preserving gastrectomy.In this paper,the author expounds on the above advantages and scope of application of dual-scope cooperative surgery and recognizes the significance of dual-scope cooperative surgery in future development.

关 键 词：胃肿瘤 早期 腹腔镜内镜联合手术 功能保留胃切除术 

分 类 号：R735.2[医药卫生—肿瘤]