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胃癌微创治疗之路
引用本文:苏向前,杨宏.胃癌微创治疗之路[J].中国肿瘤临床,2013,40(22):1361-1366.
作者姓名:苏向前  杨宏
作者单位:北京大学临床肿瘤学院,北京肿瘤医院暨北京市肿瘤防治研究所胃肠肿瘤微创外科,恶性肿瘤发病机制及转化研究教育部重点实验室(北京市100142)
基金项目:首都临床特色应用研究项目Z121107001012130首都医学发展科研基金2009-2093
摘    要:外科手术是目前唯一可能治愈胃癌的手段,但传统的开腹手术通常伴随较高的并发症率和死亡率,还会对患者术后的生活质量产生较大影响。而微创外科技术由于可有效减少手术创伤,加快术后恢复,因此对于医生和患者均具有很大的吸引力,今后或将替代传统的开腹手术。目前,胃癌微创外科技术主要向着两个不同的方向发展,即内镜下肿瘤切除和腹腔镜手术。不久的将来,前哨淋巴结导航技术和机器人手术也将为胃癌治疗提供更多选择。随着各种微创技术的不断发展,胃癌患者术后的生活质量将显著改善。目前,许多有关各种微创技术的高水平临床研究正在进行当中,胃癌微创外科必将在世界范围内广为接受,并快速发展。 

关 键 词:胃癌    微创外科    内镜切除    腹腔镜胃切除术    机器人手术
收稿时间:2013-08-18

Minimally invasive surgery for gastric cancer
Institution:Department of Minimally Invasive Gastrointestinal Surgery, Beijing Cancer Hospital and Institute, Peking University Cancer Hospital, Peking University School of Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China
Abstract:Surgical resection is the only potentially curative therapeutic method for patients with gastric cancer. However, conventional laparotomy is sometimes associated with considerable complications and mortality rate. This procedure also affects patient quality of life after surgery. Minimally invasive techniques can potentially provide an attractive alternative to current surgical procedures in terms of reducing surgical injury and accelerating postoperative recovery. Minimally invasive surgery for gastric cancer has recently been reasonably applied to two distinct forms of intervention: endoscopic resection of the tumor and laparoscopic surgery. In the near future, sentinel node navigation and robot surgery will provide more options for treating gastric cancer. Such developments will improve the quality of life of patients following surgery for gastric cancer. Various well-designed clinical trials of the minimally invasive techniques are available. Thus, the mode of surgery for gastric carcinoma will be widely accepted and rapidly developed worldwide. 
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