单孔加一腹腔镜胃癌手术操作专家共识(2020版)

Expert consensus on single incision plus one laparoscopic gastric cancer surgery(2020 version)

近年随着微创技术的发展,单孔技术(SILS)应用于腹腔镜胃癌手术中的探索也迫在眉睫。单孔加一技术(SILS+1)将主操作孔独立出来,再加上合理的镜下悬吊技术,既改善了术野的显露,也减少了主刀与扶镜手之间的相互干扰,从而能更好地完成手术。因此,SILS+1技术在保证SILS微创优势的同时,大大降低了手术操作难度。应用绕/经脐的小切口,优越的愈合与美容效果更利于患者术后生活质量及自信心的恢复,从而能更好地融入社会。但目前国内外尚无关于“SILS+1”技术的前瞻性、多中心、大样本、随机对照的临床研究。为进一步推进“SILS+1”腹腔镜胃癌手术在我国规范、有序、健康的发展,由中国医师协会微无创医学专业委员会外科单孔专业委员会外科单孔学组牵头全国相关领域的专家制定此共识。

In recent years,with the development of minimally invasive technology,the exploration of the application of single-incision laparoscopic surgery(SILS)in laparoscopic gastric cancer surgery is imminent.The single port plus one(SILS+1)technology can not only separate the main operating port with the reasonable suspension technology under the laparoscopy,but also improve the exposure and reduce the mutual interference with the laparoscope holder,which can better complete the surgical procedure.At the same time,the use of small incisions around the umbilicus will improve the integrity of the patient's abdominal wall,and the cosmetic effect is better than the traditional laparoscopic techniques,which improves the patient's later quality of life and self-confidence,and better integrating into the society.However,there is no prospective,multi-center,large sample,randomized controlled clinical study on the"SILS+1"technology.To further better promote the standard of"SILS+1"laparoscopic gastric cancer surgery,experts from the whole country have formulated this consensus.