早期胃癌微创手术的研究进展

Advances of minimally invasive approaches in the treatment of early gastric cancer

早期胃癌常有很好的预后,在微创治疗早期胃癌方面,扬州大学第二临床医学院取得了很大的进展。早期胃癌微创治疗方法包括内镜局灶切除、腹腔镜辅助胃切除手术、机器人辅助胃切除手术。对部分早期胃癌患者,内镜治疗方法已被证实为安全有效的。同时,腹腔镜切除手术及机器人辅助切除手术在胃切除手术方面也取得明显疗效,包括减轻术后疼痛、减少术中出血及减少住院时间。

Early gastric cancer （EGC） is associated with favorable prognosis and there have been many efforts made to minimize the invasiveness of resection. Curative minimally invasive approaches utilized for EGC include endoscopic, laparoscopic and robotic approaches. Endoscopic resections have been shown to be safe and effective treatments for carefully selected patients with EGC. In patients with EGC that are not candidates for endoscopic resection, laparoscopic and robotic resections allow for the appropriate curative resection with the benefits of minimally invasive surgery, including improved pain, reduced blood loss, and shorter hospital length of stay.