腹腔镜进展期胃癌根治术在中国的进展

Progress on laparoscopic surgery for advanced gastric cancer in China

在中国,大多数胃癌病例诊断时已经是进展期,由于其高发病率和高死亡率,胃癌仍然是中国的一大健康危机。手术切除是目前可能治愈胃癌的唯一方法。由于腹腔镜根治性胃切除术具有微创性的特点,自该技术的可行性和安全性被确认以来,已在各国特别是东亚地区广泛开展。尽管腹腔镜胃癌根治术在中国开展相对较晚,但是利用临床病例多等优势,近年来发展迅速,中国在腹腔镜胃癌手术相关研究及临床实践经验中亦做出独特的贡献。本文就腹腔镜胃癌根治术在中国的进展进行综述,包括不同区域的合理入路和腹腔镜手术的肿瘤学疗效,并介绍最新的技术,以帮助外科医生在临床实践中迅速克服学习曲线。

Most gastric cancer(GC)cases in China are diagnosed at an advanced stage.Because of its high morbidity and mortality,GC remains a major health crisis in China.Surgical resection is the only potentially curative treatment for GC.Because laparoscopic radical gastrectomy is minimally invasive,it has been widely applied in various countries,particularly in East Asia,since Kitano first reported its feasibility and safety.Although laparoscopic gastric surgery was introduced relatively late in China,Chinese surgeons have made unique contributions to the research and clinical practice owing to a large number of clinical cases.This review focuses on the progress in laparoscopic gastrectomy for advanced-stage GC in China by assessing the oncologic efficacy of laparoscopic surgery and reasonable approaches in different areas and introducing advanced technology to facilitate surgeons in rapidly overcoming the learning curve in clinical practice.