摘要
胃肠外科经过100余年的发展，手术技术已经完全成熟，许多术式已经成为胃肠外科的标准术式，如进展期胃癌D1根治术、中低位直肠癌全直肠系膜切除术等。20世纪，腹腔镜等微创技术的应用取得了迅猛发展，腹腔镜技术在胃癌与结直肠癌手术中的应用越来越广泛，手术技术亦日趋成熟，并在相当程度与范围内得到普及和推广。
In comparison with open surgery, laparoscopic surgery is more beneficial for patients with gastrointestinal neoplasms in serveral aspects, including better preservation of gastrointestinal and pulmonary function, less immunosuppression, shorter hospital stay and improved postoperative recovery. However, this minimally invasive surgery is more technically complex and hasn＇t got enough consent by patients. To improve the long-term outcomes, the laparoscopic techniques need to be standardized and carried out by skilled surgeons. Based on the reviewed advancement in this field and our own experience, we believe that laparoscopic surgery would be increasingly adopted as the gold standard for gastrointestinal neoplasms when its efficacy has been proved by adequate evidence from randomized controlled trials in the near future.
出处
《中华消化外科杂志》
CAS
CSCD
2011年第3期161-164,共4页
Chinese Journal of Digestive Surgery
关键词
胃肿瘤
结直肠肿瘤
腹腔镜检查
外科手术
微创性
Gastric neoplasms
Colorectal neo-plasms
Laparoscopy
Surgicalprocedures, minimally invasive
