Shrikhande Shailesh V, Gaikwad Vinay, Desouza Ashwin, Goel Mahesh
Department of Hepato-Pancreato-Biliary Surgical Oncology, Tata Memorial Hospital, Ernest Borges Marg, Parel, Mumbai, 400 012 India.
Department of Surgical Oncology, GI and HPB Division, Artemis Health Institute, Gurgaon, 122001 India.
Indian J Surg. 2014 Dec;76(6):444-52. doi: 10.1007/s12262-014-1126-2. Epub 2014 Jun 25.
As surgeons in India strive to keep pace with the technical advances in the field of laparoscopic surgery, we endeavor to evaluate the mounting global evidence regarding laparoscopic gastric and colorectal resections for cancer. We seem to be riding on the crest of excellence in traditional open surgery for gastrointestinal malignancies, opening avenues for research and for the establishment of practice guidelines in laparoscopic surgery. Results from available trials along with those from ongoing studies are paving the path toward the acceptance and standardization of these procedures. What must be ascertained is whether sound oncological principles, which are ultimately exhibited by long-term outcomes, are being preserved while garnering the established benefits of minimally invasive surgery.
随着印度外科医生努力跟上腹腔镜手术领域的技术进步,我们致力于评估全球范围内关于腹腔镜胃癌和结直肠癌切除术的越来越多的证据。我们似乎正处于胃肠道恶性肿瘤传统开放手术卓越成就的巅峰,为腹腔镜手术的研究和实践指南的制定开辟了道路。现有试验的结果以及正在进行的研究结果正在为这些手术的接受和标准化铺平道路。必须确定的是,在获得微创手术既定益处的同时,是否保留了最终由长期结果体现的合理肿瘤学原则。