外科理论与实践 ›› 2022, Vol. 27 ›› Issue (04): 380-383.doi: 10.16139/j.1007-9610.2022.04.022

• 综述 • 上一篇    

腹腔镜经胃腔手术治疗胃黏膜下肿瘤和早期胃癌

郭良奇1, 严志龙2, 张谋成2()   

  1. 1.宁波大学医学院,浙江 宁波 315211
    2.宁波市第一医院胃肠外科,浙江 宁波 315000
  • 收稿日期:2021-03-09 出版日期:2022-07-25 发布日期:2022-09-20
  • 通讯作者: 张谋成 E-mail:zhangmoucheng200@163.com

Laparoscopic intragastric surgery in treating of gastric submucosal tumor and early gastric cancer

GUO Liangqi1, YAN Zhilong2, ZHANG Moucheng2()   

  1. 1. Medical College of Ningbo University, Zhejiang Ningbo 315211, China
    2. Department of Gastrointestinal Surgery, Ningbo First Hospital, Zhejiang Ningbo 315000, China
  • Received:2021-03-09 Online:2022-07-25 Published:2022-09-20
  • Contact: ZHANG Moucheng E-mail:zhangmoucheng200@163.com

摘要:

胃黏膜下肿瘤和早期胃癌的检出率逐年升高,且两者预后良好,因此治疗时需最大限度保留胃功能。内镜治疗和腹腔镜联合内镜手术都可选择。腹腔镜经胃腔手术(laparoscopic intragastric surgery,LIGS)具有腹腔镜和内镜的优势,可由外科医师独立操作。随着LIGS术式及器械的不断完善,目前已用于胃黏膜下肿瘤和早期胃癌。本文对LIGS的应用及其优势和局限性进行综述。

关键词: 腹腔镜, 经胃腔手术, 胃黏膜下肿瘤, 早期胃癌

Abstract:

The detection rate of gastric submucosal tumor (SMT) and early gastric cancer has been increasing year by year. The type of treatment should be selected to keep gastric function as more as possible because of both SMT and early gastric cancer with good prognosis. Endoscopy and the combination of laparoscopic and endoscopic cooperative surgery can be the choice. Laparoscopic intragastric surgery (LIGS) contains the advantages of both laparoscopy and endoscopy and can be performed by the surgeon only. LIGS has been applied to gastric submucosal tumors and early gastric cancer based on the continuous improvement of the procedure and instruments of LIGS. The application including the advantage and disadvantage of LIGS were reviewed in this paper.

Key words: Laparoscopy, Intragastric surgery, Gastric submucosal tumor, Early gastric cancer

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