腹腔镜胃癌根治术中助手配合的要点和技巧

Key point and skill of assistant cooperation in ;laparoscopic gastrectomy for gastric cancer

腹腔镜胃癌根治术要求进行胃周间隙的多方位和多层次解剖分离，其淋巴结清扫范围较广，手术操作复杂，需要良好的团队配合，尤其是助手的牵拉与暴露在手术中起到十分关键的作用。能与主刀默契配合的功能型助手能够使手术时间缩短，术中出血减少，提高手术质量。助手的成长需要时间和手术例数的积累，除应具备一定开腹胃癌根治术的经验外，还应熟练掌握术中各种腹腔镜器械的使用和操作技巧，保持与主刀一致的手术思路。要想尽快成为腹腔镜胃癌手术优秀而全面的助手，应不断学习及总结以缩短自己的学习曲线。

A good team work including an excellent assistant is very important for laparoscopic radical gastrectomy, because of the complex anatomy around the stomach and the difficulty of extra-gastric lymphadenectomy. An assistant with expert cooperation can shorten the operation time, decrease bleeding, increase the smoothness of the operation, improve the quality of surgery. Growth of assistants requires time and case accumulation. Firstly they should understand their own tasks, perfect themselves in the use of laparoscopic instruments and operating skills. A good assistantshould follow the lead of the surgeon and maintain good cooperation, and keep on learning in order to shorten the learning curve.