Park Kyung-Kyu
Department of Surgery, Soonchunhyang University College of Medicine, 657-58 Hannam-dong, Yongsan-gu, Seoul 140-743, Korea.
Korean J Gastroenterol. 2005 Jan;45(1):9-16.
Recently, the detection of early gastric cancer (EGC) has increased because of the development of diagnostic techniques. Accordingly, new surgical procedures with minimal invasiveness including laparoscopic gastrectomy have been developed. Since the first laparoscopic-assisted distal gastrectomy (LADG) for EGC was performed, various new laparoscopic procedures, such as laparoscopic wedge resection (LWR) and intragastric mucosal resection (IGMR) have been developed for the treatment of EGC. Laparoscopic approaches to gastric cancer provide for minimal invasion, early recovery and decreased morbidity and mortality according to several short-term results. In the future, laparoscopic procedures for gastric cancer will be widely accepted in Korea, if the advantages of laparoscopic approaches are confirmed in randomized controlled trials of long-term outcomes.
近年来,由于诊断技术的发展,早期胃癌(EGC)的检出率有所提高。相应地,包括腹腔镜胃切除术在内的微创新手术方法也得到了发展。自从首例用于早期胃癌的腹腔镜辅助远端胃切除术(LADG)开展以来,各种新的腹腔镜手术,如腹腔镜楔形切除术(LWR)和胃内黏膜切除术(IGMR)已被开发用于治疗早期胃癌。根据一些短期结果,腹腔镜胃癌手术具有微创、恢复快、发病率和死亡率降低的特点。未来,如果腹腔镜手术方法在长期疗效的随机对照试验中得到证实,那么在韩国,腹腔镜胃癌手术将被广泛接受。