腹腔镜胃肠肿瘤手术的进展

Development of laparoscopic surgery for gastrointestinal cancer

1987年，法国Mouret医师成功施行的首例LC成为外科发展吏上的里程碑，开创了以腹腔镜技术为代表的微创外科新时代。以笔者的看法，腹腔镜外科的发展经历了3个阶段：20世纪90年代初期以LC为代表的病变脏器的切除；20世纪90年代中后期开展了消化道良性病变的切除与功能修复；

Since Dr. Mouret first introduced the laparoscopic technique into cholecystectomy, a new surgical era has arrived. With the rapid development of minimally invasive technique, it is now playing an important role in the surgical treatment of gastrointestinal cancers. Almost all kinds of gastric operations, such as wedge resection, distal gastrectomy, proximal gastrectomy and total gastrectomy with or without lymph node resection can be achieved with a laparoscope. In China, laparoscopic gastrectomy has been widely applied in many experienced medical centers and great progress has been achieved in the treatment of early and advanced gastric cancer. Laparoscopic colonic surgery has been recognized as one of the standard operations by NCCN. In Asian countries like China, Japan and Korea, laparoscopic rectal surgery following the TME principle has been widely applied. Because of the rapid development of laparoscopic gastrointestinal surgery in China, the Chinese Society of Laparo-endoscopic SurgeiT has published standardized guidelines and established training centers for the development of young surgeons.