经过近30年的探索与实践，以腹腔镜手术为代表的微创外科技术是目前胃癌外科治疗的重要手段。在中国，局部进展期胃癌腹腔镜根治术得到广泛开展，然而，针对进展期胃癌胃切除范围和方式尚存争议。笔者查阅国内外相关指南文献，结合团队实践经验，从手术适应证、肿瘤定位、胃上部和中部及下部肿瘤切除范围等方面阐述腹腔镜局部进展期胃癌胃切除范围的质量控制要点，旨在为更加规范地开展并推广腹腔镜胃癌根治手术提供参考。 After nearly 30 years of exploration and practice, minimally invasive surgical techniques represented by laparoscopic technology have become an important means for the surgical treatment of gastric cancer. In China, laparoscopic radical resection for locally advanced gastric cancer has been extensively carried out. However, there are still controversies regarding the gastric resection range and methods for advanced gastric cancer. By reviewing relevant domestic and foreign guideline documents and combining team practice experience, this article elaborates on the key points of quality control of laparoscopic gastric resection range for locally advanced gastric cancer from aspects such as tumor localization and gastric resection range for upper, middle and lower gastric tumors. It aims to provide reference for carrying out and promoting laparoscopic radical gastrectomy more safely.
Quality control of gastric resection range in laparoscopic locally advanced gastric cancer
After nearly 30 years of exploration and practice, minimally invasive surgical techniques represented by laparoscopic technology have become an important means for the surgical treatment of gastric cancer. In China, laparoscopic radical resection for locally advanced gastric cancer has been extensively carried out. However, there are still controversies regarding the gastric resection range and methods for advanced gastric cancer. By reviewing relevant domestic and foreign guideline documents and combining team practice experience, this article elaborates on the key points of quality control of laparoscopic gastric resection range for locally advanced gastric cancer from aspects such as tumor localization and gastric resection range for upper, middle and lower gastric tumors. It aims to provide reference for carrying out and promoting laparoscopic radical gastrectomy more safely.
Stomach neoplasms,advancedLaparoscopic radical gastrectomyQuality controlMinimally invasive surgery
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