单孔腹腔镜胃癌根治术的治疗进展与争议

Treatment Progress and Controversy of Single-port Laparoscopic Radical Gastrectomy

胃癌是一种常见的发病率和死亡率均较高的消化道恶性肿瘤。随着人类居住环境越来越恶劣,胃癌的发病率呈逐年上升趋势,由于我国人口老龄化的加剧,我国该病发病率长期居高不下,对人们的生命安全造成严重的威胁。胃癌的发病机制目前尚未完全清楚,可能与遗传因素、地域因素、长期食用腌渍、过烫食品有关。随着腔镜技术的发展,以及医师操作水平的提高,单孔腹腔镜手术(SILS)逐渐应用于临床,SILS胃癌根治术具有创伤小、恢复快等优势,深受外科医师和广大患者的喜欢。但是目前SILS胃癌根治术仍存在着难点、争议和困惑,而且国内、外报道文献较少,基于此,本文综合有关的文献、国内外的研究与临床实践经验,分别从SILS胃癌根治术的发展现状、评估、关键问题、对生活质量的影响、思考与争议等进行综述,以期为临床开展SILS胃癌根治术提供参考。

Gastric cancer is a common malignant tumor of digestive tract with high morbidity and mortality.With the more and more severe human living environment,the incidence of gastric cancer is increasing year by year.Due to the aggravation of aging population in our country,the incidence of this disease remains high for a long time,which poses a serious threat to people's life safety.The pathogenesis of gastric cancer is not fully understood at present,and may be related to genetic factors,regional factors,long-term consumption of pickled,overhot food.With the development of endoscopy technology and the improvement of doctors'operation level,single-hole laparoscopic surgery(SILS)has been gradually applied in clinical practice.SILS radical gastrectomy has the advantages of less trauma and faster recovery,and is favored by surgeons and patients.However,there are still difficulties,disputes and confusion in SILS radical gastrectomy at present,and there are few literatures reported at home and abroad.Based on this,based on relevant literatures,domestic and foreign research and clinical practice experience,this paper summarizes the development status,evaluation,key problems,influence on quality of life,thinking and disputes of SILS radical gastrectomy respectively.In order to provide reference for the develop of SILS radical gastrectomy.