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[单孔腹腔镜根治性胃切除术的研究进展]

[Research progress of single-incision laparoscopic radical gastrectomy].

作者信息

Li Y, Wang Q, Ye Y J, Jiang K W

机构信息

Department of Gastrointestinal Surgery, Peking University People's Hospital, Beijing 100044, China.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2021 Aug 25;24(8):667-671. doi: 10.3760/cma.j.cn441530-20210507-00194.

Abstract

Gastric cancer is one of the most common malignant diseases in the world, which has a high incidence in our country and threatens people's health seriously. Laparoscopic radical gastrectomy is one of the main methods of surgical treatment for gastric cancer, whose clinical application has a history of near 30 years. With the in-depth understanding of minimally invasive surgery and the improvement of patients' cosmetic demand, single-incision laparoscopic surgery has emerged. Since the first report of single-incision laparoscopic radical gastrectomy in 2010, its safety has been preliminarily confirmed. While this result still needs to be further verified by more prospective randomized controlled studies. Compared with traditional laparoscopic radical gastrectomy, single-incision laparoscopic radical gastrectomy has the advantages of less trauma, less postoperative pain and faster postoperative recovery. So it has been favored by surgeons. However, the steeper learning curve and difficult operation of single-incision laparoscopic radical gastrectomy limit its promotion in clinical applications. At present, there are still controversies and confusions in the single-incision laparoscopic radical gastrectomy. This article elucidates the advances and existing problems of single-incision laparoscopic radical gastrectomy.

摘要

胃癌是世界上最常见的恶性疾病之一,在我国发病率较高,严重威胁人们的健康。腹腔镜根治性胃切除术是胃癌外科治疗的主要方法之一,其临床应用已有近30年的历史。随着对微创手术认识的深入和患者对美观需求的提高,单孔腹腔镜手术应运而生。自2010年首次报道单孔腹腔镜根治性胃切除术以来,其安全性已得到初步证实。不过这一结果仍需更多前瞻性随机对照研究进一步验证。与传统腹腔镜根治性胃切除术相比,单孔腹腔镜根治性胃切除术具有创伤小、术后疼痛轻、恢复快等优点,因此受到外科医生的青睐。然而,单孔腹腔镜根治性胃切除术学习曲线较陡、操作难度大,限制了其在临床中的推广应用。目前,单孔腹腔镜根治性胃切除术仍存在争议和困惑。本文阐述了单孔腹腔镜根治性胃切除术的进展及存在的问题。

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