中国胃癌外科发展的机遇与挑战

Opportunities and challenges for the progress of Chinese gastric cancer surgery

当前，我国胃癌外科发展在微创外科技术、加速康复外科理念、学科交叉与资源整合、人才教育培训制度等方面面临一系列新的挑战。全腹腔镜胃癌手术与导航手术已具备良好工作基础，但亟待开展相关临床研究，明确手术适应证选择，积累足够的循证医学证据。加速康复外科则应在新兴研究方法助力下，进一步选择并优化各项临床策略，降低推广应用门槛。人工智能与大数据技术的成熟为胃癌外科发展带来巨大机遇，但专科数据标准化与互联互通仍是现阶段首要问题。人才是突破关键，进一步对外开放研究领域，借助国际先进培训体系，培养高质量国际性人才是未来发展基石。只有抓住这些历史机遇，继续推动技术和理念创新，切实保障患者利益，才能推动我国胃癌外科向实现精准医疗的目标稳步迈进。

Prevention, diagnosis and treatment of gastric cancer have always been one of the focus of cancer work in China. Currently, the challenges, from the applications of minimally invasive surgical techniques, practices of enhanced recovery after surgery （ERAS） , interdisciplinary and resource integration, and innovation of education and training system of talent development, have being bringing new opportunities to the development of gastric cancer surgery in China. There has been a good working basis for total laparoscopic surgery for gastric cancer and navigation surgery, but surgeons urgently need to conduct further clinical researches, select operative indications and accumulate evidence-based medicine proofs. On the strength of new research methods, ERAS should further select and optimize clinical strategies, and reduce the barriers to entry for application and dissemination. The artificial intelligence and big data technology will meet tremendous opportunities for gastric cancer and interconnection. Talent is the key to breakthrough, nevertheless, further opening research field, using the international advanced training system and training high-quality international talents will always be a cornerstone of the future developments. Gastric cancer surgery in China will make steadily progress toward the precision medicine only if grasping historical opportunities, continuing to promote innovations of technologies and ideas and guaranteeing patients＇ benefits would be carried out.