中国胃癌外科发展的机遇与挑战

伴随着人工智能与大数据时代的来临,基因组学的发展以及影像技术的更新,中国胃癌外科在腔镜外科技术、加速康复外科、多学科综合治疗协作、精准医疗等多方面均面临着前所未有的机遇与挑战。腔镜外科手术有着切口小、恢复快等优势,进一步降低手术并发症发生率是新时代医患的共同需求。微创肿瘤外科治疗面临创新,需要新的平台及新的思维。人工智能与大数据的发展,对临床医生的常规诊断和治疗提出新挑战。顺应科技的发展,因地制宜,鼓励多中心合作研究,完善专科数据的标准化与互联互通,完成从经验医学向循证医学的转变,促进胃癌治疗的标准化、规范化和个体化,为患者提供精准化的诊疗,是当前胃癌外科发展的机遇与挑战。

Development of Chinese gastric cancer surgery: opportunities and challenges

With the approaches of artificial intelligence and big data, the development of cancer genomics and updating of imaging technology, gastric cancer surgery is facing great challenges and opportunities. The main focus is on laparoscopic surgery technology, enhanced recovery after surgery, multidisciplinary comprehensive treatment, and precision medicine. Considering the common demand for reduced complication rate among doctors and patients, laparoscopic surgery has become widely popular owing to its advantages of small incision and rapid recovery. Furthermore, the development of artificial intelligence and big data has raised a new challenge in routine diagnosis and treatment. As a result, we encourage multicenter cooperation, and data standardization and sharing. At present, completion of the transition from empirical medicine to evidence-based medicine and promotion of the individualization and standardization of gastric cancer treatment are needed.