Huh Yeon-Ju, Lee Joo-Ho
Department of Surgery, Ewha Womans University Mokdong Hospital, Yangcheon-gu, Seoul 07985, Republic of Korea.
Gastroenterol Res Pract. 2017;2017:9278469. doi: 10.1155/2017/9278469. Epub 2017 Sep 5.
Laparoscopic gastrectomy is evolving. With the increasing expertise and experience of oncologic surgeons in the minimally invasive surgery for gastric cancer, the indication for laparoscopic gastrectomy is expanding to advanced cases. Many studies have demonstrated the benefits of minimally invasive surgery, including reduced risk of surgery-related injury, reduced blood loss, less pain, and earlier recovery. In order to establish concrete evidence for the suitability of minimal invasive surgery for gastric cancer, many multicenter RCTs, comparing the short- and long-term outcomes of laparoscopic versus open surgery, are in progress. Advances in laparoscopic gastrectomy are moving toward increasingly minimally invasive approaches that enable the improvement of the quality of life of patients, without compromising on oncologic safety.
腹腔镜胃切除术正在不断发展。随着肿瘤外科医生在胃癌微创手术方面的专业知识和经验日益丰富，腹腔镜胃切除术的适应证正在扩大到晚期病例。许多研究已经证明了微创手术的益处，包括降低手术相关损伤的风险、减少失血、减轻疼痛以及更早康复。为了确立微创手术适用于胃癌的确凿证据，许多比较腹腔镜手术与开放手术短期和长期结果的多中心随机对照试验正在进行中。腹腔镜胃切除术的进展正朝着越来越微创的方法发展，这种方法能够在不影响肿瘤学安全性的前提下提高患者的生活质量。
