CAJ | 학술논문

治疗胃癌的腹腔镜胃切除手术(laparoscopic gastrectomy,LG)在过去的20年中运用范围日益广泛。相关的循证医学结果显示,在近期疗效方面,LG 已达到不低于开腹胃切除手术(open gastrectomy,OG)的肿瘤临床治疗效果,且具有微创等优势。在远期疗效方面,LG 与 OG 治疗早期胃癌相近的疗效已获得了充足的循证医学证据,LG 已成为早期胃癌可选的标准治疗方法之一。虽然不少研究显示 LG 治疗进展期胃癌亦能取得 OG 同样的远期疗效,但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在取得微创优势的基础上具有与开腹手术相当的疗效。
치료위암적복강경위절제수술(laparoscopic gastrectomy,LG)재과거적20년중운용범위일익엄범。상관적순증의학결과현시,재근기료효방면,LG 이체도불저우개복위절제수술(open gastrectomy,OG)적종류림상치료효과,차구유미창등우세。재원기료효방면,LG 여 OG 치료조기위암상근적료효이획득료충족적순증의학증거,LG 이성위조기위암가선적표준치료방법지일。수연불소연구현시 LG 치료진전기위암역능취득 OG 동양적원기료효,단잉결핍다중심적전첨성수궤대조연구결과래평개복강경수술적우렬。외과의사지유엄격선택합괄병례,수술중엄격준순악성종류수술적근치원칙,재능사복강경위암근치술재취득미창우세적기출상구유여개복수술상당적료효。
Laparoscopic gastrectomy (LG)has gained its popularity over the past two decades. In term of short-term efficacies,many studies have demonstrated that LG,more mini-invasive,is as clinically effective as open gastrectomy (OG).As for long-term efficacies,both LG and OG are effica-cious for early gastric cancer.Despite comparable outcomes of both methods for advanced gastric canc-er,no multi-center,prospective and randomized control study is available for evaluating the effective-ness of LG.Surgeons should carefully select optimal patients and strictly follow the protocols for trea- <br> ting malignant cancer.In doing so,LG may achieve oncologic outcomes equivalent to those of conven-tional OG.