中国腹腔镜结肠癌手术20年发展、问题与对策

Twenty years of development,problems and countermeasures of laparoscopic colon cancer surgery in China in the past 20 years

经过20年的实践前行,中国在结肠癌的腹腔镜外科治疗领域获得了长足的发展进步,无论从理论到技术都渐趋成熟。随着腹腔镜技术的持续发展以及外科医生技术的不断精进,腹腔镜结肠癌手术正在不断进入新的发展阶段。但目前对于腹腔镜结肠癌手术的认知仍存在不同方面的观点,包括根治手术的应用解剖、不同微创手术平台的优劣、不同能量设备的应用以及双镜联合技术等。百家争鸣、百花齐放的学术氛围必将推动中国腹腔镜结肠癌治疗向精准化,功能化,标准化不断前进。

In recent 20 years with accumulated clinical practice,China has made considerable progress in the field of laparoscopic surgical treatment of colon cancer,and it has gradually matured from theory to technology.With the continuous development of laparoscopic technology and the continuous improvement of surgeons’skills,laparoscopic colon cancer surgery is constantly entering a new stage of development.However,there are still different perspectives on the cognition of laparoscopic colon cancer surgery,including the applied anatomy of radical surgery,the pros and cons of different minimally invasive surgery platforms,the application of different energy devices,and laparoscopic and endoscopic cooperative surgery.The academic atmosphere of free development and controversy of different factions and styles would promote the precise medicine,functional surgery,and standardization of laparoscopic colon cancer treatment in China.