腹腔镜胃癌D2根治术的评价

Evaluation of laparoscopic radical gastric D2 resection

胃癌是导致人类肿瘤相关死亡的前10位原因之一，目前为止，根治性的手术仍是治愈胃癌的唯一方法。目前已有广泛的共识，D2根治术是治疗进展期胃癌的标准术式。自从1994年Kitano等完成第1例腹腔镜胃癌根治术，十余年来，腹腔镜胃癌根治术已得到较为普遍的开展，从早期胃癌的局部切除、D1＋根治术，刮进展期胃癌的标准D2根治术，甚至联合脏器切除的D3根治术均有报道。

Gastric cancer is one of the top-10 causes of cancer-related dealh for human beings, and radical surgery is still the only way to cure gastric cancer. Currently there is a general consensus that D2 resection is the standard treatment for advanced gastric cancer surgical procedures. In recent decade, laparoscopic radical gastrectomy are commonly carried out in our country, and there are more than 1 000 cases in multiple centers of laparoscopic radical gastreetomy. Studies have shown that laparoscopic gastric cancer surgery is safe and feasible. I,aparoscopic gastric cancer D2 resection for advanced gastric cancer achieves considerable clinical outcome as open surgery, with significantly better overall smwival.