腹腔镜胃癌根治术研究进展

Progression of laparoscopic gastrectomy

腹腔镜胃癌根治术与开腹手术比较，具有术后疼痛轻、胃肠功能恢复快、术后进食早、住院时间短等微创优势，手术并发症两者类似。在早期胃癌，可获得与开腹手术相当的根治性效果。虽然随着镜下操作经验的丰富以及设备的改进，进展期胃癌以及复杂的D2清扫操作更多被纳入腹腔镜胃癌手术的范畴，但目前仍需要多中心大样本随机对照研究证实其远期根治性疗效。

Laparoscopic gastrectomy（LG） is associated with less postoperative pain, quicker recovery of gastrointestinal function, faster oral intake, earlier discharge from hospital, and comparable complications to open gastrectomy（OG）. Especially for early gastric cancer, LG can get an radical oncologic outcome as conven- tional OG. However, with increasing of laparoscopic experience and improvement in instrumentation, more ad- vanced gastric cancers and more extensive procedures such as laparoscopy-assisted D2 dissection are becoming more common. Further large muhicentre randomized controlled trials are still required to delineate the long-term outcomes.