摘要
随着医疗技术的飞速发展和人们卫生健康意识的增强,良性胃部肿瘤和早期胃癌的检出比例显著增加。如何在保证肿瘤学安全性的前提下,根据胃部肿瘤特征、采用精准合理的治疗方案以实现个体化和精准化治疗、最大限度减少手术创伤及并发症从而改善患者术后生活质量,是胃肠外科医生面临的新挑战。腹腔镜手术和消化内镜手术是当前治疗胃部肿瘤的两种主要手段,但是两者均有其优缺点。而腹腔镜结合内镜治疗胃部肿瘤,已成为治疗胃部肿瘤的新方式。该术式在发挥腹腔镜和内镜优势的同时,也实现了对两种手术的优势互补。本文讨论了腹腔镜联合内镜治疗胃部肿瘤的手术技术类别、适应证以及技术改进和展望。
With the rapid development of medical technology and the improvement of people's health awareness,the detection rate of benign gastric tumors and early gastric cancer has increased significantly.Under the premise of ensuring the safety of oncology,challenges for surgeons present is how to adopt precise and reasonable treatment plans according to the characteristics of gastric tumors to minimize surgical trauma and complications,improve postoperative quality of life,and achieve individualized and precise treatment.Laparoscopic surgery and digestive endoscopy are currently the two main methods for treating gastric tumors.However,they both have advantages and shortcomings.The combination of laparoscopy and digestive endoscopy for the treatment of gastric tumors has become a new way to treat gastric tumors.This operation not only fully exploits the advantages of laparoscopy and digestive endoscopy,but also complements the shortcomings of each.This article reviews the surgical technique categories,indications,technical improvements,and perspectives of laparoscopy combined with digestive endoscopy in the treatment of gastric tumors.
作者
韩方海
陈尚祥
周声宁
Han Fanghai;Chen Shangxiang;Zhou Shengning(Department of Gastrointestinal Surgery,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510120,China)
出处
《中华胃肠外科杂志》
CSCD
北大核心
2023年第8期745-752,共8页
Chinese Journal of Gastrointestinal Surgery
关键词
胃肿瘤
双镜联合手术
腹腔镜
内镜
适应证
Stomach neoplasms
Laparoscopy and endoscopy cooperative surgery
Laparoscopy
Endoscopy
Indications
