腹腔镜辅助内镜全层切除术在早期胃癌外科治疗中的应用价值OA
The clinical value of laparoscopy-assisted endoscopic full-thickness resection in the surgical treatment of early gastric cancer
近年来随着精准外科理念的成功实践,腹腔镜与内镜联合手术在早期胃癌中的应用已证明安全有效,其中腹腔镜辅助内镜全层切除术联合吲哚菁绿荧光导航淋巴结清扫是一种可使病人获得与肿瘤根治术长期预后相近的保功能术式.其具有微创、R0切除保障(水平及垂直切缘阴性)、最大可能保留正常胃壁、全层缝合后一期愈合及胃功能恢复等优势.随着肿瘤外科治疗个体化、精准化趋势的发展,这一术式在早期胃癌外科治疗中的应用也必然得到更大发展.
In recent years,with the successful implementation of the concept of precision surgery,the use of laparoscopy-endoscopy cooperative surgery in early gastric cancer has proven to be safe and effective.Among these techniques,laparoscopy-assisted endoscopic full-thickness resection combined with indocyanine green fluorescence-guided lymph node dissection is a function-preserving procedure that enables patients to achieve a long-term prognosis comparable to that of radical resection.It offers advantages such as minimally invasive surgery,guaranteed horizontal and vertical resection margins,maximal preservation of the normal gastric wall,and full-thickness suturing to ensure primary healing and the restoration of gastric function.With the growing trend towards personalised and precision surgical treatment of cancer,this procedure is bound to see further development.
左冰玉;臧潞
上海交通大学医学院附属瑞金医院普通外科/胃肠外科上海市微创外科临床医学中心上海消化外科研究所,上海 200025上海交通大学医学院附属瑞金医院普通外科/胃肠外科上海市微创外科临床医学中心上海消化外科研究所,上海 200025
医药卫生
内镜全层切除术早期胃癌吲哚菁绿胃壁闭合
endoscopic full-thickness resectionearly gastric cancerindocyanine greenclosure of the gastric wall
《中国实用外科杂志》 2026 (7)
898-902,5
National Natural Science Foundation of China(No.82372933)Shanghai Jiaotong University"Jiaotong Star"Program Key Project for Interdisciplinary Research in Medicine and Engineering(No.YG2023ZD03) 国家自然科学基金项目(No.82372933)上海交通大学"交大之星"计划医工交叉研究基金重点项目(No.YG2023ZD03)
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