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中华普外科手术学杂志(电子版) ›› 2021, Vol. 15 ›› Issue (02) : 123 -128. doi: 10.3877/cma.j.issn.1674-3946.2021.02.002

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中国腹腔镜胃癌手术20年发展、问题与对策
黄昌明1,(), 陈起跃1, 刘治羽1, 钟情1   
  1. 1. 350001 福建医科大学附属协和医院胃外科
  • 收稿日期:2020-08-01 出版日期:2021-04-26
  • 通信作者: 黄昌明

Development, problems and countermeasures of laparoscopic radical gastrectomy for gastric cancer in China in the past 20 years

Changming Huang1,(), Qiyue Chen1, Zhiyu Liu1, Qing Zhong1   

  1. 1. Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China
  • Received:2020-08-01 Published:2021-04-26
  • Corresponding author: Changming Huang
  • Supported by:
    Joint Funds for the Innovation of Science and Technology of Fujian Province(2018Y9041); China Scholarship Council(201908350095); National Natural Science Foundation of China(81802312;81871899)
引用本文:

黄昌明, 陈起跃, 刘治羽, 钟情. 中国腹腔镜胃癌手术20年发展、问题与对策[J/OL]. 中华普外科手术学杂志(电子版), 2021, 15(02): 123-128.

Changming Huang, Qiyue Chen, Zhiyu Liu, Qing Zhong. Development, problems and countermeasures of laparoscopic radical gastrectomy for gastric cancer in China in the past 20 years[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(02): 123-128.

尽管腹腔镜胃癌根治术在中国开展相对较晚,但是利用临床病例多等优势,近20年来发展迅速。对于腹腔镜在进展期胃癌根治术中应用,中国学者在手术疗效高级别循证医学研究、手术入路探索、吲哚菁绿(ICG)示踪辅助淋巴结清扫技术等方面取得可喜成绩。但是,在技术快速发展同时,仍存在过分强调临床病例积累,忽视技术开展的规范性及临床数据的积累与分析等问题。相信随着腹腔镜胃癌规范化培训体系、资质准入制度与手术质量控制机制的逐步建立与完善,多学科多中心协作与大数据分析的进行,腹腔镜胃癌手术将在胃癌的外科治疗中得到更全面、更规范的开展。

Although laparoscopic radical surgery for gastric cancer was developed relatively late in China, it has developed rapidly in the past 20 years by taking advantage of large number of clinical cases. For the application of laparoscopy in advanced gastric cancer radical surgery, Chinese scholars have obtained great achievements in high-level evidence-based medical research on surgical efficacy, surgical approach exploration, and indoxyanine green (ICG) tracing assisted lymph node dissection . However, with the rapid development of technology, there still exist problems that overemphasize the accumulation of clinical cases and ignore the normative development of technology and the accumulation and analysis of clinical data. It is believed that with the gradual establishment and improvement of standardized training system, qualification access system and surgical quality control mechanism, multi-disciplinary multi-center collaboration and big data analysis, laparoscopic gastric cancer surgery will be more comprehensive and more standardized in the surgical treatment of gastric cancer.

图1 裸化胃网膜右血管
图2 完成幽门下区域清扫后
图3 充分裸化胃左动脉
图4 胰腺上缘区域清扫后
图5 显露胃网膜左血管
图6 脾门区No.10,No.11d淋巴结清扫后
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