CAJ | 학술논문

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。
복강경위암수술이근20년적역사，기운용범위이일익엄범。단시，목전복강경위암수술잉미피대다수림상의사소장악。상관순증의학증거현시，복강경위암수술능구체도여개복수술상당적종류근치효과，차사기구유교호적미창효과。재원기료효방면，조기위암적복강경수술이경획득량호적원기료효，이재진전기위암방면，잉결핍다중심적전첨성수궤대조연구결과래평개복강경수술적우렬。외과의사지유엄격선택합괄병례，수술중엄격준순악성종류수술적근치원칙，재능사복강경위암근치술불부구유미창우세，이차가이취득여개복수술상당적원기료효。
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 evi-dence-based medical data, this surgical procedure has achieved the same effect as open surgery through a satisfactory minimally inva-sive 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 ad-vanced gastric cancers. Only by strictly choosing the right surgical cases and strictly following the principles of radical surgery on ma-lignant tumors can radical laparoscopic gastrectomy achieve the advantages of minimally invasive surgery and the long-term effects of open surgery.