CAJ | 학술논문

腹腔镜辅助远端胃癌根治术(LADG)是微创外科的技术之一,是现代外科的重要发展方向之一.按照日本胃癌治疗指南,LADG的适应证应严格限定在早期胃癌中,进展期胃癌应属于探索性临床研究.LADG在早期胃癌病例中应用的短期优势已得到较普遍地认可,但全腹腔镜技术尚需进一步研究探索；而LADG在进展期胃癌中的应用仍然是目前学术争议的热点之一.虽然当前有研究显示,LADG加D2淋巴结清扫对于进展期胃癌其效果与开腹手术相当,但仍需等待中国、日本和韩国目前正在进行的大样本多中心随机对照试验的结果确认.
복강경보조원단위암근치술(LADG)시미창외과적기술지일,시현대외과적중요발전방향지일.안조일본위암치료지남,LADG적괄응증응엄격한정재조기위암중,진전기위암응속우탐색성림상연구.LADG재조기위암병례중응용적단기우세이득도교보편지인가,단전복강경기술상수진일보연구탐색；이LADG재진전기위암중적응용잉연시목전학술쟁의적열점지일.수연당전유연구현시,LADG가D2림파결청소대우진전기위암기효과여개복수술상당,단잉수등대중국、일본화한국목전정재진행적대양본다중심수궤대조시험적결과학인.
Laparoscopy-assisted distal gastrectomy (LADG)is a minimally invasive surgical technique,and also an important development of modern surgery.According to Japanese Gastric Cancer Treatment Guideline,indications of LADG must be strictly limited in early gastric cancer patients,while it should be investigated in advanced gastric cancer.Based on available studies,the short-term advantage of LADG for early gastric cancer has been generally accepted,but the totally laparoscopic technique for early gastric cancer is still to be further studied.LADG for advanced gastric cancer continues to be controversial,which needs the relevant final results of randomized controlled trials from China,Japanese,and Korean to determine,although some current studies have demonstrated similar efficacy of LADG plus D2 lymphadenectomy as compared to open gastrectomy.