中国腹腔镜胃癌手术20年回顾与展望

Review and prospect of laparoscopic surgery for gastric cancer in China in the past 20 years

胃癌在中国的发病率长期居高不下,腹腔镜胃癌手术最早于1999年在国内开展,迄今为止约20年。21世纪前10年是腹腔镜胃癌手术的探索时期,后10年为高速发展阶段。随着临床研究的深入,腹腔镜胃癌手术的适应证和手术方式不断拓展。荧光腹腔镜、3D/4K屏幕显像、机器人手术系统、5G远程手术等高新技术也不断涌现。腹腔镜胃癌手术已经成为胃癌外科治疗的重要选择之一,腹腔镜胃癌手术应当在理念进步及技术创新推动下向精准化、个体化、规范化的方向发展。

The incidence of gastric cancer in China has been high for a long time.Laparoscopic surgery gastric cancer was first carried out in China in 1999,and it has been about 20 years so far.The first decade of 21st century is the exploration period of laparoscopic gastric cancer surgery,while the last decade is the rapid development stage.With the deepening of clinical research,indications and surgical methods of laparoscopic surgery for gastric cancer continue to expand.High-tech technology such as fluorescent laparoscopy,3D/4K screen imaging,robotic surgery system and 5G tele-surgery are also emerging.Laparoscopic gastrectomy has become one of the important surgical treatment options for gastric cancer,and it should be developed in the direction of precision,individualization and standardization under the promotion of concept progress and technological innovation.