Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China; Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China; Key Laboratory of Ministry of Education of Gastrointestinal Cancer, Fujian Medical University, Fuzhou, China; Fujian Key Laboratory of Tumor Microbiology, Fujian Medical University, Fuzhou, China.
Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China; Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China; Key Laboratory of Ministry of Education of Gastrointestinal Cancer, Fujian Medical University, Fuzhou, China; Fujian Key Laboratory of Tumor Microbiology, Fujian Medical University, Fuzhou, China.
Eur J Surg Oncol. 2020 Oct;46(10 Pt B):e7-e13. doi: 10.1016/j.ejso.2020.07.015. Epub 2020 Jul 17.
Most gastric cancer (GC) cases are diagnosed at an advanced stage in China. Because of its high morbidity and mortality, GC remains a major health crisis in China. Surgical resection is the only potentially curative treatment for GC. Owing to being minimally invasive, laparoscopic radical gastrectomy has been widely used in various countries, especially in East Asia, since Kitano first reported the feasibility and safety of this technique. Although laparoscopic gastric surgery was introduced relatively late in China, Chinese surgeons have made unique contributions to the research and clinical practice of laparoscopic gastric surgery due to the large number of clinical cases. This review focuses on the progress in laparoscopic gastrectomy for advanced stage GC in China, including reasonable approaches in different areas and oncologic efficacy of laparoscopic surgery, and introduce advanced technology to facilitate surgeons to rapidly overcome the learning curve in clinical practice.
大多数胃癌（GC）病例在中国被诊断为晚期。由于其高发病率和死亡率，GC 仍然是中国的主要健康危机。手术切除是 GC 唯一潜在的治愈性治疗方法。由于具有微创性，腹腔镜根治性胃切除术自 Kitano 首次报道该技术的可行性和安全性以来，已在许多国家得到广泛应用，特别是在东亚。尽管腹腔镜胃手术在中国引入较晚，但由于临床病例众多，中国外科医生对腹腔镜胃手术的研究和临床实践做出了独特的贡献。这篇综述重点介绍了中国晚期 GC 腹腔镜胃切除术的进展，包括不同地区合理的方法和腹腔镜手术的肿瘤学疗效，并介绍了先进技术，以帮助外科医生在临床实践中快速克服学习曲线。
