中国实用外科杂志

中国实用外科杂志

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腹腔镜胃癌手术相关重要临床研究解析

王振宁，朱甲明，孙景旭   

  1. 中国医科大学附属第一医院胃肠肿瘤外科 胃肠肿瘤精准诊疗教育部重点实验室（中国医科大学），辽宁沈阳110001
  • 出版日期:2023-09-01

  • Online:2023-09-01

摘要： 胃癌是世界范围内常见的恶性肿瘤，具有发病率高、病死率高的特点，其治疗方式目前仍是以手术为主的综合治疗。近年来，腹腔镜胃癌手术虽得到较大发展，但仍存在争议。随着一系列大型临床研究的开展，腹腔镜手术治疗早期胃癌的安全性、有效性已被证实，且得到了世界各国胃癌诊治指南和共识的推荐。然而腹腔镜手术治疗进展期胃癌的有效性和安全性还有待进一步研究结果证实。随着腹腔镜技术的发展和更多临床研究结果的公布，腹腔镜在胃癌治疗中的应用价值已获得较为广泛的认可。尤其是中、日、韩三国的大型系列临床研究，为腹腔镜胃癌手术的推广与技术进步提供了大量、全面的高级别循证医学证据。

关键词: 胃癌, 腹腔镜, 临床研究

Abstract: Analysis of important clinical studies on laparoscopic surgery for gastric cancer        WANG Zhen-ning，ZHU Jia-ming, SUN Jing-xu. Department of Gastrointestinal Oncology, the First Hospital of China Medical University; Key Laboratory of Precision Diagnosis and Treatment for Gastrointestinal Tumors, Ministry of Education (China Medical University), Shenyang110001, China
Corresponding author：WANG Zhen-ning, E-mail：znwang@
cmu.edu.cn
Abstract    Gastric cancer is a commonly encountered malignancy worldwide, known for its high incidence and elevated mortality rates. Currently, the predominant therapeutic approach for gastric cancer remains comprehensive management centered around surgical intervention. In recent years, despite the unprecedented advancement in laparoscopic surgical techniques, its utilization continues to be a subject of contention. With the progression of large-scale clinical studies, the safety and effectiveness of laparoscopic treatment for early-stage gastric cancer have been established and endorsed by major international guidelines and consensus statements on gastric cancer management. However, further research is warranted to confirm the efficacy and safety of laparoscopic treatment for advanced-stage gastric cancer. In recent years, along with advancements in laparoscopic techniques and the dissemination of additional clinical research outcomes, the application of laparoscopy in gastric cancer treatment has garnered broader acceptance. Particularly, significant series of clinical studies from China, Japan, and South Korea have furnished ample and comprehensive high-level evidence in the realm of evidence-based medicine, facilitating the promotion and refinement of laparoscopic gastric cancer surgery.

Key words: gastric cancer, laparoscopy, clinical research