腹腔镜经胃腔手术治疗胃黏膜下肿瘤和早期胃癌

Laparoscopic intragastric surgery in treating of gastric submucosal tumor and early gastric cancer

胃黏膜下肿瘤和早期胃癌的检出率逐年升高,且两者预后良好,因此治疗时需最大限度保留胃功能。内镜治疗和腹腔镜联合内镜手术都可选择。腹腔镜经胃腔手术(laparoscopic intragastric surgery,LIGS)具有腹腔镜和内镜的优势,可由外科医师独立操作。随着LIGS术式及器械的不断完善,目前已用于胃黏膜下肿瘤和早期胃癌。本文对LIGS的应用及其优势和局限性进行综述。

The detection rate of gastric submucosal tumor(SMT)and early gastric cancer has been increasing year by year.The type of treatment should be selected to keep gastric function as more as possible because of both SMT and early gastric cancer with good prognosis.Endoscopy and the combination of laparoscopic and endoscopic cooperative surgery can be the choice.Laparoscopic intragastric surgery(LIGS)contains the advantages of both laparoscopy and endoscopy and can be performed by the surgeon only.LIGS has been applied to gastric submucosal tumors and early gastric cancer based on the continuous improvement of the procedure and instruments of LIGS.The application including the advantage and disadvantage of LIGS were reviewed in this paper.