单孔及减孔腹腔镜胃癌根治术的技术难点解析
Analysis of technical difficulties of single-port and reduced port laparoscopic radical gastrectomy for gastric cancer
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摘要:
单孔及减孔腹腔镜胃癌根治术是近些年逐渐兴起的一种新型手术方式，因其腹部美容效果更佳，术后疼痛更轻，术后手术部位感染等相关并发症发生率更低，而且术后患者加速康复效果优势明显，而备受关注。此项技术开展早期，由于缺乏单孔腹腔镜器械和单孔腹腔镜镜头及多通道穿刺器等设备，加之技术上的难点没有得到解决，发展受到了制约。近年来，由于单孔及减孔腹腔镜技术改进，器械和设备更新，该项技术才逐渐得到了认可和发展。相信在不远的将来单孔及减孔腹腔镜胃癌根治术一定能够有所突破和发展。
Abstract:Single-port and reduced-port laparoscopic radical gastrectomy as the innovative surgery for gastric cancer are gradually accepted nowadays, and more attentions are also paid to single-port and reduced-port laparoscopic radical gastrectomy due to its better cosmetic effect, less pain, lower incidence rate of surgical site infection and more advantages in enhanced recovery after surgery. However, in the early stage, the development of single-port and reduced-port laparoscopic radical gastrectomy were facing challenges and obstacles on account of limited surgical skills, the lack of special laparoscopic instruments, laparoscope and multi-port Trocar. In recent years, the dilemma and difficult situations were gradually resolved following by surgical techniques innovation, laparoscopic instruments and facilities improvement. It is believed that single-port and reduced-port laparoscopic radical gastrectomy will have a good prospect and breakthrough in the field of gastric cancer treatment in the future.
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