积跬步以至千里——致敬中国腹腔镜胃癌外科

Small steps to thousands of miles:a tribute to Chinese laparoscopic gastric cancer surgery

腹腔镜胃癌外科在我国发展20余载,历经20世纪90年代的探索起步阶段、21世纪初的学习积累阶段、21世纪10年代的成熟推广阶段直至当下的规范创新阶段。中国腹腔镜胃癌手术从无到有,由少及多,由多而广。手术技术不断成熟突破并逐渐规范形成共识,循证医学证据不断收获,学术交流日渐活跃并受到国际重视。未来,更有望在肿瘤特异性的腹腔镜导航手术系统、智能化的机器人胃癌手术平台、内外科融合下的早期胃癌保功能手术以及腹膜转移的腹腔镜综合治疗等方面,获得新的进展与突破。笔者通过回顾中国腹腔镜胃癌外科的发展历程,向历史深处汲取灵感,传承创新,展望未来,致敬前辈。

Laparoscopic surgery for gastric cancer has been developed in China for more than 20 years.It has gone through the initial stage of exploration in the 1990s,the stage of learning and accumulation in the early 21st century,the stage of development and expansion in the 2010s,and the current stage of standardization,and innovation.Laparoscopic gastric cancer surgery in China has developed from less to more,from more to popular.Surgical techniques have gradually become mature,innovated,and standardized,medical evidence has accumulated,and academic exchanges have become increasingly active and valued by the world.In the future,it is expected to make new progress and breakthrough in tumor specific laparoscopic navigation surgery system,intelligent robotic gastric cancer surgery platform,functional preservation surgery for early gastric cancer under the integration of gastroenterologists and surgeons,and laparoscopic comprehensive treatment for peritoneal metastasis.By reviewing the development of laparoscopic gastric cancer surgery in China,the authors draw inspiration from the depths of history,inherit and innovate,look forward to the future,and pay tribute to the predecessors.