外科理论与实践

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2023 , Vol. 28 >Issue 03: 233 - 239

DOI: https://doi.org/10.16139/j.1007-9610.2023.03.010

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中国单孔及减孔腹腔镜胃癌手术实践

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  • 1.青海大学附属医院胃肠肿瘤外科，青海 西宁 810001
    2.上海交通大学医学院附属瑞金医院普外科，上海 200025

收稿日期: 2023-05-10

  网络出版日期: 2023-08-18

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Practice of single-port and reduced-port laparoscopic gastric cancer surgery in China

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  • 1. Department of Gastrointestinal Oncological Surgery, Qinghai University Affiliated Hospital, Qinghai Xining 810001, China
    2. Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Received date: 2023-05-10

  Online published: 2023-08-18

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摘要

腹腔镜手术在胃癌领域的应用与发展经历了20余年，从探索性开展，到临床验证，再到大规模临床研究，获得高级别循证医学证据的支持。腹腔镜手术逐步推荐成为胃癌外科治疗的手段之一，在全世界范围尤其是以日本、韩国及中国为代表的东亚地区广泛应用。单孔及减孔腹腔镜手术最早应用于胆囊、阑尾切除术，因其微创及美容效果佳，被胃肠外科医师所关注。其在胃癌外科的临床应用仍处于探索阶段。初期观察性临床研究结果显示，其在美容效果及加速康复外科方面与传统的五孔腹腔镜胃癌手术相比较，具有潜在的优势，但其手术安全性及可行性仍缺乏高级别循证医学证据的支持。

关键词： 单孔腹腔镜; 减孔腹腔镜; 胃癌手术

本文引用格式

燕速, 郑民华 . 中国单孔及减孔腹腔镜胃癌手术实践[J]. 外科理论与实践, 2023 , 28(03) : 233 -239 . DOI: 10.16139/j.1007-9610.2023.03.010

Abstract

The application and development of laparoscopic surgery for gastric cancer has experienced a history of more than two decades, from exploratory development to clinical validation, and then to large-scale clinical studies. Gra-dually, laparoscopic gastric cancer surgery has been supported by high-level evidence. Laparoscopic surgery is progressively recommended as one of the alternative treatment for gastric cancer and is widely performed in gastric cancer surgery worldwide, especially in East Asia, such as Japan, Korea and China. Single-port and reduced-port laparoscopic surgery was first performed for cholecystectomy and appendectomy, is becoming more popular among gastrointestinal surgeons due to its minimally invasive outcomes and better cosmetic effects. However, the clinical application of single-port and reduced-port laparoscopic surgery for gastric cancer is still in the exploratory stage. The results of initially observational studies have shown that single-port and reduced-port laparoscopic surgery have potential advantages in terms of cosmetic results and enhanced recovery after surgery compared with the conventional five-port laparoscopic surgery for gastric cancer. But its surgical safety and feasibility are still not confirmed by high-level evidence of evidence-based medicine.

Key words： Single-port laparoscopic surgery; Reduced-port laparoscopic surgery; Gastric cancer surgery

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