重视胃癌微创手术的规范化

Emphasis on standardization of minimally invasive surgery for gastric cancer

微创手术的规范化对于提高微创手术疗效、降低术后并发症发生率非常重要。在胃癌微创手术规范化实践中，术前规范诊断是前提，需扬长避短综合运用多种诊断策略以提高术前诊断的准确性；术中规范操作是核心，规范操作应遵循有循证医学证据基础的专家共识或指南；术后规范管理是关键，淋巴结规范分拣、并发症和随访等数据准确记录及胃癌专病数据库为手术质量评价提供了客观信息。建立微创手术培训体系和完善相关准入制度有利于胃癌微创手术的规范化推广。

Different proficiency in minimally invasive surgery has great impact on efficacy of minimally invasive surgery. Therefore, great importance should be attached to the standardization of minimally invasive surgery. Accurate preoperative staging plays a prerequisite role which emphasizes multiple diagnostic strategies. Precise intraoperative procedure plays an essential role which should be performed according to the evidence-based expert consensus and guideline. Standardized postoperative management plays a crucial role which includes ex vivo lymph node dissection, registry of complication and follow-up and establishment of medical database. Establishing training system and improving quality standard system will promote standardized utilization of minimally invasive surgery clinically.