腹腔镜胃癌根治术已有近20年的历史，目前其在早期胃癌中应用已取得国内外的共识；而在进展期胃癌方面，尽管已经取得了较好的临床疗效，但仍需多中心的前瞻性随机对照研究结果来评价腹腔镜手术的优劣。外科医师只有严格选择合适病例，手术中严格遵循恶性肿瘤手术的根治原则，才能使腹腔镜胃癌根治术不仅具有微创优势，而且可以取得与开腹手术相当的远期疗效。

Reasonable application and efficacy of laparoscopic radical gastrectomy for gastric cancer        HUANG Chang-ming, LIN Jian-xian. Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China
Corresponding author: HUANG Chang-ming, E-mail: hcmlr2002@163.com
Abstract    Laparoscopic radical gastrectomy has a nearly 20 years’ history. Nowadays, application of laparoscopic radical gastrectomy for early gastric cancer has been made in the consensus at home and abroad. The operation has already achieved good clinical efficacy in advanced gastric cancer. But it still needs the results of multi-center prospective randomized controlled study to evaluate the advantages and disadvantages of laparoscopic surgery. Only surgeon chose the right surgical cases and followed the principles of radical cancer surgery strictly, laparoscopic radical gastrectomy can be done with not only the advantages of minimally invasive, but also the similar long-term effect compared with the open surgery.