胃癌单孔腹腔镜外科进展

Progress in single-incision laparoscopic surgery for gastric cancer

随着胃癌微创外科理念及腹腔镜器械设备的升级,单孔腹腔镜胃癌手术应运而生,并逐渐成为胃癌外科研究的新舞台。单孔腹腔镜胃切除术比传统多孔腹腔镜手术创伤更小,美容效果更好,术后疼痛更轻,恢复更快。但是单孔腹腔镜胃癌手术难度更大,技术要求更高,限制了其进一步推广应用。虽然大量研究已经提示了单孔腹腔镜胃癌手术的安全性及可行性,但是仍然缺乏高级别循证医学证据支撑。笔者对单孔腹腔镜胃癌手术的发展历程、当前现状及发展前景进行探讨。

With the upgrading of minimally invasive surgical concepts and laparoscopic equipment for gastric cancer,single-incision laparoscopic surgery(SILS)had emerged as a new focus of research in gastric cancer surgery.SILS offered advantages such as reduced damage,superior cosmetic outcomes,decreased postoperative pain,and faster recovery as compared with traditional laparoscopic gastrectomy.However,its level of difficulty limited its further promotion and application.Although numerous studies supported the safety and feasibility of SILS,more high-level evidence-based medical research was required to endorse its widespread use.The author reviewed the development history,current status,and prospects of SILS laparoscopic gastric cancer surgery.