关键词: 微创外科, 腹腔镜, 机器人手术系统, 胃切除术, 并发症

Abstract:

Prevention and treatment of surgery-related complications of gastrectomy in era of minimally invasive surgery        LIANG Han. Department of Gastric Cancer Surgery，Tianjin Medical University Cancer Institute & Hospital，National Clinical Research Center for Cancer，Tianjin 300060，China
Abstract    In recent 20 years minimally invasive surgery has become the main direction of gastric surgery. Laparoscopic gastrectomy not only results in better cosmetic outcomes，but also reduces intraoperative blood loss，adhesion in peritoneal cavity and postoperative pain，leading to faster recovery of peristalsis and shorter hospital stay. Intraoperative bleeding is the most common complication. Postoperative delayed massive heamorrhage is the fatal complication which may cause the death of the patients. Duodenal stump leakage is one of the complication which should not be ignored and should be treated aggressively. Although the incidence of pancreatic fistula is significantly lower than that of open surgery, it should be taken seriously. The three-dimension (3D) laparoscopic system can restore the amplifying real operative field. The learning curve of the beginners by 3D laparoscopy will be shortened and the probability of bleeding during the operation will be decreased when compared with 2D laparoscopy. Robotic surgical system is a revolutionary achievement of surgery. The naked eye amplifying 3D operative field and flexible mechanical arms help the operator to reduce the surgery-related complications and achieve the aim of minimally invasive and accurate operation. 

Key words: minimally invasive surgery, laparoscopy, robotic surgical system, gastrectomy, complication