Su Xiang-qian, Yang Hong, Xing Jia-di
Department of Minimally Invasive Gastrointestinal Surgery, Beijing Cancer Hospital & Institute, Peking University Cancer Hospital, Peking University School of Oncology, Beijing, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2012 Aug;15(8):773-5.
Laparoscopy-assisted distal gastrectomy for gastric cancer was first reported in 1994. Since then, the laparoscopic approach is rapidly becoming the preferred method of treatment for patients with early gastric cancer (EGC) due to the many advantages of minimally invasive surgery. Many retrospective comparative trials and randomized-controlled trials (RCT) have confirmed that laparoscopic gastrectomy (LG) is safe and feasible, and that short-term outcomes are better than those of open gastrectomy in patients with EGC. As laparoscopic experience has accumulated, the indications for LG have been broadened to patients with advanced gastric cancer (AGC). However, the role of LG remains controversial, because studies of the long-term outcomes of LG are insufficient. Laparoscopic gastric surgery is demanding from a technical point of view, especially when a D2 lymphadenectomy is performed. Adequate training in laparoscopic techniques and procedures is mandatory prior to embarking on a LG.
腹腔镜辅助远端胃癌切除术于1994年首次报道。自那时起，由于微创手术具有诸多优势，腹腔镜手术方法正迅速成为早期胃癌（EGC）患者的首选治疗方法。许多回顾性对照试验和随机对照试验（RCT）已证实，腹腔镜胃切除术（LG）是安全可行的，并且EGC患者的短期预后优于开腹胃切除术。随着腹腔镜经验的积累，LG的适应证已扩大至进展期胃癌（AGC）患者。然而，LG的作用仍存在争议，因为关于LG长期预后的研究并不充分。从技术角度来看，腹腔镜胃手术要求很高，尤其是在进行D2淋巴结清扫时。在开展LG之前，必须对腹腔镜技术和操作进行充分培训。
