关键词: 腹腔镜和内镜联合手术, 前哨淋巴结导航手术, 早期胃癌

Abstract: The value of laparoscopic and endoscopic combined surgery in the treatment of early gastric cancer        ZANG Lu, ZUO Bing-yu. Department of General Surgery, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Minimally Invasive Surgery Clinical Medical Center, Shanghai 200025, China
Corresponding author: ZANG Lu, E-mail: zanglu@yeah.net
Abstract    The surgical treatment of early gastric cancer (EGC) is shifting from the pursuit of tradition and standardization to minimally invasive, precise, and individualized development. The concept is changing from a simple emphasis on radical treatment to giving consideration to both radical treatment and functional preservation. Laparoscopic and endoscopic combined surgery (LECS) is an important practice among them, which can not only perform local precise resection of early gastric cancer lesions that are difficult to treat under endoscopic therapy, but also dissect potential metastatic lymph nodes. Although there are no more large-scale clinical trials to verify the efficacy and safety of this surgery, after nearly 20 years of practice, LECS has been proven to be a clinically operable treatment that can improve patient benefits. LECS and sentinel lymph node navigation surgery will be an important development direction for the treatment of early gastric cancer in the future.

Key words: laparoscopic and endoscopic combined surgery, sentinel lymph node navigation surgery, early gastric cancer