腹腔镜辅助内镜全层切除术在早期胃癌外科治疗中的应用价值

左冰玉; 臧潞

doi:10.19538/j.cjps.issn1005-2208.2026.07.08

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中国实用外科杂志 ›› 2026, Vol. 46 ›› Issue (7) : 898-902. DOI: 10.19538/j.cjps.issn1005-2208.2026.07.08

专题笔谈·胃肿瘤的腹腔镜与内镜联合诊治

腹腔镜辅助内镜全层切除术在早期胃癌外科治疗中的应用价值

左冰玉 ,
臧潞

作者信息 +

The clinical value of laparoscopy-assisted endoscopic full-thickness resection in the surgical treatment of early gastric cancer

ZUO Bing-yu ,
ZANG Lu

Author information +

文章历史 +

摘要

近年来随着精准外科理念的成功实践，腹腔镜与内镜联合手术在早期胃癌中的应用已证明安全有效，其中腹腔镜辅助内镜全层切除术联合吲哚菁绿荧光导航淋巴结清扫是一种可使病人获得与肿瘤根治术长期预后相近的保功能术式。其具有微创、R0切除保障（水平及垂直切缘阴性）、最大可能保留正常胃壁、全层缝合后一期愈合及胃功能恢复等优势。随着肿瘤外科治疗个体化、精准化趋势的发展，这一术式在早期胃癌外科治疗中的应用也必然得到更大发展。

Abstract

In recent years, with the successful implementation of the concept of precision surgery, the use of laparoscopy-endoscopy cooperative surgery in early gastric cancer has proven to be safe and effective. Among these techniques, laparoscopy-assisted endoscopic full-thickness resection combined with indocyanine green fluorescence-guided lymph node dissection is a function-preserving procedure that enables patients to achieve a long-term prognosis comparable to that of radical resection. It offers advantages such as minimally invasive surgery, guaranteed horizontal and vertical resection margins, maximal preservation of the normal gastric wall, and full-thickness suturing to ensure primary healing and the restoration of gastric function. With the growing trend towards personalised and precision surgical treatment of cancer, this procedure is bound to see further development.

导出引用

左冰玉, 臧潞. 腹腔镜辅助内镜全层切除术在早期胃癌外科治疗中的应用价值[J]. 中国实用外科杂志. 2026, 46(7): 898-902 https://doi.org/10.19538/j.cjps.issn1005-2208.2026.07.08

ZUO Bing-yu, ZANG Lu. The clinical value of laparoscopy-assisted endoscopic full-thickness resection in the surgical treatment of early gastric cancer[J]. Chinese Journal of Practical Surgery. 2026, 46(7): 898-902 https://doi.org/10.19538/j.cjps.issn1005-2208.2026.07.08

中图分类号： R6

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