摘要
腹腔镜技术在胃癌根治术中的运用已有20余年,越来越多的医疗中心开展了该技术。然而,由于胃癌根治术的淋巴结清扫范围广泛,需在胃周多层次、多间隙中进行分离解剖操作,且腹腔镜手术具有一定学习曲线。因此,手术团队配合良好尤为重要,能使术者更快渡过学习曲线,增强手术信心,提高手术质量。完成一台高质量的腹腔镜胃癌根治术,除了需要经验丰富、操作熟练的主刀医师外,能与主刀默契配合、协助术野暴露和分离的功能型助手,以及能够提供优质画面的扶镜手也不可或缺。手术团队熟识胃周血管的解剖及变异,选择合适的手术入路,并采用程序化的手术步骤和配合,可在完成根治手术同时,让更多患者获得更微创的手术效果。
The application of laparoscopic gastrectomy for gastric cancer has more than 20 years, more and more medical centers carry out this technique for gastric cancer. Due to the wide range of lymph node dissection for radical gastrectomy, it is required to perform lymphadenectomy in multiple layers and spaces, in addition, there is a learning curve for laparoscopic surgery, so a well-matched surgical team is particularly important, which enables the surgeons to get through the learning curve faster, increases the confidence of the operation, and also improves the quality of the operation. A high-quality laparoscopic radical gastrectomy requests an experienced and skilled surgeon, a functional assistant who can perform a good exposure and separation, as well as a mirror assistant who provides a high-quality view. Familiar with the anatomy and variation of the perivascular vessels, choosing the appropriate surgical approach, and using programmed surgical procedures and coordination make the surgeon achieve a better minimally invasive surgery, which also benefits to the patients.
作者
黄昌明
林建贤
Huang Changming;Lin Jianxian(Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China)
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2019年第3期209-212,共4页
Chinese Journal of Digestive Surgery
基金
福建省微创医学中心建设项目([2017]171)
第二届福建省双创人才专项支持经费(2016B013).
关键词
胃肿瘤
胃癌
根治术
淋巴结清扫
腹腔镜检查
Gastric neoplasms
Gastric cancer
Radical resection
Lymphadenectomy
Laparoscopy
