腹腔镜胃切除术中淋巴结清扫的发展：安全性及技术要点
Development of lymph node dissection in laparoscopic gastrectomy: safety and technical tips.
作者信息
Tu Ru-Hong, Li Ping, Xie Jian-Wei, Wang Jia-Bin, Lin Jian-Xian, Lu Jun, Chen Qi-Yue, Cao Long-Long, Lin Mi, Huang Chang-Ming, Zheng Chao-Hui
机构信息
Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.
出版信息
Transl Gastroenterol Hepatol. 2017 Mar 30;2:23. doi: 10.21037/tgh.2017.03.10. eCollection 2017.
With the accumulation of experience in laparoscopic radical gastrectomy and the progress in surgical instruments, the laparoscopic technique has been widely applied in gastric cancer. Combining previous reports with data from our center, we believe that laparoscopic surgery for gastric cancer is safe and feasible, and its surgery-related complications have an incidence that is not higher, and perhaps even lower, than that of traditional laparotomy. However, the stomach has many anatomical levels and an abundant blood supply; additionally, laparoscopic surgery is relatively difficult. Therefore, understanding the normal gastric peripheral vascular anatomy and variation, selecting an appropriate surgical approach, applying programmed surgical procedures and team cooperation, and paying attention to the details in lymph node dissection are keys to a successful laparoscopic lymph node dissection in gastric cancer.
随着腹腔镜根治性胃切除术经验的积累以及手术器械的进步，腹腔镜技术已在胃癌治疗中广泛应用。结合既往报道及我们中心的数据，我们认为腹腔镜胃癌手术是安全可行的，其手术相关并发症的发生率不高于甚至可能低于传统开腹手术。然而，胃有多个解剖层面且血供丰富；此外，腹腔镜手术相对困难。因此，了解正常胃周血管解剖及变异、选择合适的手术入路、应用程序化手术操作及团队协作，并注重淋巴结清扫的细节，是成功实施腹腔镜胃癌淋巴结清扫的关键。
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