胃癌微创外科治疗的难点及发展趋势

Development trend and difficulties of minimally invasive surgery for gastric cancer

历经100多年的发展,外科手术仍是胃癌治疗的基石,并已初步实现了从“经典”的开放手术向“微创”的腹腔镜手术过渡。胃癌微创外科治疗经过30多年的探索,尤其是近十年中国腹腔镜胃肠外科研究组(CLASS研究组)先后启动了系列高水平腹腔镜胃癌外科临床研究,引领了该领域的范式革新。在此基础上,胃癌微创外科治疗的趋势逐渐聚焦在微创程度的升级、技术难度的降级、病人生活质量的优化和肿瘤疗效提高等方面。

After more than 100 years of development,surgery is still the cornerstone of gastric cancer treatment,and has initially achieved the transition from "classic" open surgery to "minimally invasive" laparoscopic surgery.After more than 30years of exploration in minimally invasive surgery for gastric cancer,especially in the past decade,the Chinese Laparoscopic Gastrointestinal Surgery Study Group(CLASS)has launched a series of high-level clinical research in laparoscopic gastric cancer surgery,leading the paradigm innovation in this field.On this basis,the trend of minimally invasive surgical treatment of gastric cancer gradually focuses on the upgrading of minimally invasive effect,the degradation of technical difficulty,the optimization of quality of life,and the improvement of tumor treatment.