单孔腹腔镜胃癌手术的现状与思考

Current status and consideration of single-port laparoscopic gastrectomy

  • 摘要: 随着微创理念的更新,腹腔镜设备、器械和技术的进步,减孔腹腔镜手术,单孔腹腔镜手术应运而生。单孔腹腔镜胃切除术比传统的多孔腹腔镜胃切除术创伤更小,美容效果更好,术后疼痛更轻,恢复更快。这被认为是提高患者术后早期生命质量的最佳方法。但是单孔腹腔镜胃癌手术难度更大,技术要求更高,限制了其应用。自2011年首次报道单孔腹腔镜远端胃切除术以来,其安全性已经得到初步证实,但仍需前瞻性随机试验验证。因此,该手术方式的广泛开展尚存争议。笔者结合相关文献与临床实践经验,就当前单孔腹腔镜胃癌手术的现状和存在问题进行探讨。

     

    Abstract: With the renewal of minimally invasive concept and the progress in laparoscopic equipment, instruments and technology, reduced-port and single-port laparoscopic surgery had been applicated in the clinical practice. Compared with traditional laparoscopic gastrectomy, single-port laparosco-pic gastrectomy (SILG) has less trauma, better cosmetic effect, lighter postoperative pain and faster recovery, which has been considered to be the best way to improve the quality of life of patients in the early postoperative period. However, the technical difficulties of SILG for gastric cancer have limited its clinical application.Since the first report describing single-port laparoscopic distal gastrectomy in 2011, the safety of SILG has been preliminarily confirmed. However, prospective randomized trials comparing SILG with traditional laparoscopic gastrectomy are still required. Therefore, the extensive application of SILG is still controversial. Combined with relevant literatures and clinical experience, the authors investigate the current status and exis-ting problems of SILG.

     

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