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中华普外科手术学杂志(电子版) ›› 2023, Vol. 17 ›› Issue (04) : 355 -359. doi: 10.3877/cma.j.issn.1674-3946.2023.04.001

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不断推进中国腹腔镜胃癌外科手术规范化
季加孚(), 苏昊, 季科   
  1. 100142 北京,北京大学肿瘤医院,北京市肿瘤防治研究所,教育部恶性肿瘤发病机制及转化重点实验室,胃肠肿瘤中心
  • 出版日期:2023-08-26
  • 通信作者: 季加孚

Promoting the standardization of laparoscopic surgery for gastric cancer in China continuously

Jiafu Ji(), Hao Su, Ke Ji   

  1. Department of Gastrointestinal Surgery, Key laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing 100142, China
  • Published:2023-08-26
  • Corresponding author: Jiafu Ji
  • Supported by:
    Beijing Municipal Science and Technology Commission Beijing Municipal Science and Technology Project(A001672); The Pilot Project 3rd Round to Reform Public Development of Beijing Municipal Medical Research Insitute(2019-01); The joint fund for Key Projects of National Natural Science Foundation of China(U20A20371)
引用本文:

季加孚, 苏昊, 季科. 不断推进中国腹腔镜胃癌外科手术规范化[J]. 中华普外科手术学杂志(电子版), 2023, 17(04): 355-359.

Jiafu Ji, Hao Su, Ke Ji. Promoting the standardization of laparoscopic surgery for gastric cancer in China continuously[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(04): 355-359.

腹腔镜手术在我国已经成为胃癌外科治疗的发展方向,一系列高质量的临床研究证实了腹腔镜手术治疗早期胃癌及进展期胃癌的安全性和有效性,其适应证逐步规范并渐趋共识。根据国人胃癌淋巴结转移特点规范淋巴结清扫范围,综合多方面因素合理选择消化道重建方式,重视标本的规范化外科处理以及逐步规范新技术新方法的操作流程,有利于精准判断患者病情、改善患者预后及减少围手术期相关并发症,对不断推进我国腹腔镜胃癌外科规范化水平意义深远。

Laparoscopic surgery has become the development direction of surgical treatment for gastric cancer in China. A series of high-quality clinical studies have confirmed the safety and effectiveness of laparoscopic surgery in the treatment of early and advanced gastric cancer,and its indications have gradually standardized and reached a consensus. Standardizing the dissections scope of lymph nodes according to the characteristics of lymph node metastasis of gastric cancer in China,selecting the reconstruction method of digestive tract rationally based on various factors,paying attention to the standardized surgical treatment of specimens and gradually standardizing the operation process of new technologies and methods are conducive to accurately judging the patient's condition,improving the patient's prognosis and reducing perioperative complications. It is of far-reaching significance to continuously promote the standardized level of laparoscopic surgery for gastric cancer in China.

图1 不同部位胃切除淋巴结清扫范围[9]注:A=全胃切除清扫范围;B=远端胃切除清扫范围;C=近端胃切除清扫范围。
图2 远端胃切除术后消化道重建常见方式[16]注:A=BillrothⅠ式吻合;B=BillrothⅡ式联合Braun吻合;C=Roux-en-Y吻合。
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