黄昌明, 林建贤. 胃癌腹腔镜手术的循证医学评价[J]. 中国肿瘤临床, 2013, 40(22): 1357-1360. DOI: 10.3969/j.issn.1000-8179.2013.22.005
引用本文: 黄昌明, 林建贤. 胃癌腹腔镜手术的循证医学评价[J]. 中国肿瘤临床, 2013, 40(22): 1357-1360. DOI: 10.3969/j.issn.1000-8179.2013.22.005
Changming HUANG, Jianxian LIN. Evidence-based medicine review on laparoscopic gastrectomy for gastric cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2013, 40(22): 1357-1360. DOI: 10.3969/j.issn.1000-8179.2013.22.005
Citation: Changming HUANG, Jianxian LIN. Evidence-based medicine review on laparoscopic gastrectomy for gastric cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2013, 40(22): 1357-1360. DOI: 10.3969/j.issn.1000-8179.2013.22.005

胃癌腹腔镜手术的循证医学评价

Evidence-based medicine review on laparoscopic gastrectomy for gastric cancer

  • 摘要: 腹腔镜胃癌手术已近20年的历史,其运用范围已日益广泛。但是,目前腹腔镜胃癌手术仍未被大多数临床医师所掌握。相关循证医学证据显示,腹腔镜胃癌手术能够达到与开腹手术相当的肿瘤根治效果,且使其具有较好的微创效果。在远期疗效方面,早期胃癌的腹腔镜手术已经获得良好的远期疗效,而在进展期胃癌方面,仍缺乏多中心的前瞻性随机对照研究结果来评价腹腔镜手术的优劣。外科医师只有严格选择合适病例,手术中严格遵循恶性肿瘤手术的根治原则,才能使腹腔镜胃癌根治术不仅具有微创优势,而且可以取得与开腹手术相当的远期疗效。

     

    Abstract: Laparoscopic gastrectomy has been used to treat gastric cancer for nearly 20 years. The application of this operation has become more widely available. However, a few surgeons have yet to master the surgical technique. Based on related evidence-based medical data, this surgical procedure has achieved the same effect as open surgery through a satisfactory minimally invasive procedure. Laparoscopic surgery has also achieved favorable results in terms of long-term survival. However, more multi-center prospective randomized control studies are still needed to evaluate the advantages and disadvantages of laparoscopic surgery for advanced gastric cancers. Only by strictly choosing the right surgical cases and strictly following the principles of radical surgery on malignant tumors can radical laparoscopic gastrectomy achieve the advantages of minimally invasive surgery and the long-term effects of open surgery

     

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