• 摘要: 以腹腔镜技术为代表的微创外科技术是目前胃癌外科治疗的重要手段。随着近年越来越多高质量临床研究的开展和结果公布,腹腔镜技术在胃癌手术治疗的适应证得到了更多的循证医学支持,并在新辅助治疗患者、晚期胃癌转化治疗患者等多个方面进行了积极探索。此外,腹腔镜胃癌外科亦在淋巴结清扫及手术切除范围、全腹腔镜手术、保留幽门的胃切除、近端胃切除的消化道重建、淋巴结示踪等多方面具有较大进展。基于《腹腔镜胃癌手术操作指南(2016版)》,结合近年研究热点及高等级循证医学成果,以临床证据为基础,以临床问题为导向,再次修订更新形成《腹腔镜胃癌手术操作指南(2023版)》。

     

    Abstract: Minimally invasive surgical techniques, represented by laparoscopic techniques, are currently an important tool in the surgical treatment of gastric cancer. With the development of more and more high-quality clinical research and the publication of results in recent years, the indications for laparoscopic techniques in the surgical treatment of gastric cancer have received more evidence-based medical support and have been actively explored in many aspects, such as patients receiving neoadjuvant treatment and patients with advanced gastric cancer receiving trans-lational treatment. In addition, laparoscopic gastric cancer surgery has made great progress in lymph node dissection and surgical resection scale, total laparoscopic surgery, pylorus-preserving gastrec⁃tomy, gastrointestinal reconstruction after proximal gastrectomy, and lymph node tracing. Based on the Guideline for Laparoscopic Gastrectomy for Gastric Cancer (2016 Edition), and combined with recent research hotspots and high-grade evidence-based medical results, the Guideline for Laparoscopic Gastrectomy for Gastric Cancer (2023 Edition) is revised and updated based on clinical evidence and oriented to clinical problems.

     

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