摘要
腹腔镜治疗局部进展期远端胃癌的多中心、随机对照临床研究(CLASS-01研究,ClinicalTrials.gov注册号NCT01609309)证实:由经验丰富的外科医师实施腹腔镜远端胃癌D2根治术治疗局部进展期胃癌是安全的,微创获益显著,肿瘤学疗效不劣于传统开腹手术。这为解决腹腔镜微创手术与传统开腹手术治疗局部进展期胃癌的疗效争议提供了强有力的证据支撑。2019年9月,《腹腔镜局部进展期远端胃癌D2根治术标准操作流程:CLASS-01研究共识》(简称《标准操作流程》)发表在《中华胃肠外科杂志》,得到国内外临床专家的高度评价,在当今腹腔镜微创手术广泛应用的局面下,发表CLASS研究组十年科学研究总结并发布这一《标准操作流程》,具有里程碑式的意义,成为当今国内外公认的胃癌腹腔镜外科的中国标准。这将引导我国腹腔镜胃癌外科的科学发展,避免滥用或过渡使用腹腔镜微创技术;同时,确保胃癌患者从微创外科技术中充分获益。
A multicenter, randomized, controlled clinical trial of laparoscopic gastrectomy for locally advanced distal gastric cancer (CLASS-01 trial, ClinicalTrials.gov registration number NCT01609309) confirmed that experienced surgeons could safely performed laparoscopic D2 distal gastrectomy for patients with locally advanced gastric cancer, with minimally invasive benefits and non-inferior oncological efficacy. This provides strong evidence of the treatment of locally advanced gastric cancer via laparoscopic approach, comparable to open surgery. In September 2019,"Standard Operation Procedure of Laparoscopic D2 Distal Gastrectomy for Locally Advanced Gastric Cancer: Consensus on CLASS-01 trial" was published in the Chinese Journal of Gastrointestinal Surgery, which was highly evaluated by Chinese and overseas experts. Under the situation of wide application of minimally invasive surgery, the CLASS group published a 10-year scientific research summary and released the "Standard Operation Procedure", which has landmark significance and has become the recognized Chinese standard of laparoscopic surgery for the treatment of gastric cancer world wide. This will guide the scientific development of laparoscopic gastric cancer surgery in China, avoiding abuse or inappropriate use of minimally invasive techniques, while ensuring the rational use with fully benefits to the patients with gastric cancer.
作者
季加孚
Ji Jiafu(Department of Gastrointestinal Surgery, Keylaboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Beijing 100142, China)
出处
《中华胃肠外科杂志》
CAS
CSCD
北大核心
2019年第10期913-915,共3页
Chinese Journal of Gastrointestinal Surgery
关键词
胃肿瘤
腹腔镜
微创
技术标准
Stomach neoplasms
Laparoscope
Minimally invasive surgery
Technical standard
