中国微创胃肠外科发展的思考

腹腔镜技术在结直肠肿瘤与早期胃癌中的应用已经获得广泛的认同与开展。在我国,微创胃肠外科经历了上世纪90年代良性病变及功能修复性手术的第一阶段和本世纪初10年的恶性肿瘤手术的关键技术突破、技术规范、推广普及的第二阶段．目前已在全国几乎所有的大中型医院都得到开展：下一个10年或更长的时间内将如何发展,是摆在我们面前的关键问题。把握正确的方向．开拓视野,踏踏实实努力工作．提升我国胃肠外科的诊疗水平,是我们共同的责任与目标。

Thought on development of minimally invasive gastrointestinal surgery in China

Laparoscopic surgery for gastrointestinal diseases had a remarkable progress in the past 20 years. Laparoscopic surgery for colon cancer is adopted worldwide by increasingly surgeons based on the evidence from randomized controlled studies. Minimally invasive surgery is also adopted as alternative procedure for early gastric cancer. The standardization and spreading of the minimally invasive technique for gastrointestinal surgery is also being implemented efficiently in China. However, how to innovate the new technique and improve the new instrumentation for minimally invasive surgery is still a problem which we have to confront in the current situation. But we believe that with the great efforts of gastrointestinal surgeons, the widespread adoption of minimally invasive gastrointestinal surgery would surely take place in the near future.