高精度腹腔镜显像技术在微创胃癌手术中的精准应用与评价

Precision application and evaluation of high-precision laparoscopic imaging technology in minimally invasive gastric cancer surgery

高精度腹腔镜显像技术是近年来新兴的腹腔镜技术平台,其主要包括3D腹腔镜、4K超高清腹腔镜以及吲哚菁绿近红外光成像等技术。在微创胃癌手术中,这些技术能够重建出更真实、更直观的三维立体结构,精准定位肿瘤和胃周淋巴结,从而清晰暴露解剖层次,为腹腔镜下胃周血管裸化、淋巴结清扫和消化道重建等手术操作提供便利。笔者结合团队的实践经验和国内外相关文献,深入阐述高精度腹腔镜显像技术在微创胃癌手术中的最新进展,分析该技术在临床应用中的优势及挑战,旨在推动高精度腹腔镜显像技术在微创胃癌手术中的普及应用。

High-precision laparoscopic imaging is an emerging laparoscopic technology platform in recent years,which mainly includes 3D laparoscopy,4K ultra-high definition laparoscopy,and indocyanine green(ICG)near-infrared fluorescent imaging.In minimally invasive gastric cancer surgery,these technologies can reconstruct a more realistic and intuitive three-dimensional structure,precisely locate the tumor and perigastric lymph nodes,and thus clearly expose the anatomical levels,facilitating laparoscopic surgical operations such as perigastric vascular nudity,lymph node dissection and digestive tract reconstruction.The authors discuss the latest advances in high-precision laparoscopic imaging technology in minimally invasive gastric cancer surgery,together with the practical experience of the author′s team and relevant domestic and international literature,and analyze the advantages and challenges of this technology in clinical application,intending to promote the popularization of high-precision laparoscopic imaging technology in minimally invasive gastric cancer surgery.