CAJ | 학술논문

腹腔镜胃癌手术在国内外迅猛发展，相关临床研究也越来越多。淋巴结清扫在国内已经不再是技术难点，而吻合方式合理选择直接关系患者术后生活质量，必须加以关注。腹腔镜胃癌手术与开放手术一样，都必须遵循基本原则。由于腹腔镜胃癌手术有其特殊性，因此，其消化道吻合与开放手术有所不同，外科医师必须在目前现有证据下，谨慎选择，积极开展临床研究，才能为胃癌患者造福。
복강경위암수술재국내외신맹발전，상관림상연구야월래월다。림파결청소재국내이경불재시기술난점，이문합방식합리선택직접관계환자술후생활질량，필수가이관주。복강경위암수술여개방수술일양，도필수준순기본원칙。유우복강경위암수술유기특수성，인차，기소화도문합여개방수술유소불동，외과의사필수재목전현유증거하，근신선택，적겁개전림상연구，재능위위암환자조복。
The laparoscopic gastrectomy has been popularized world-wide, and more and more clinical trials have been designed and conducted. Nowadays, lymphadenectomy is not a technical problem for Chinese surgeons, and the type of digestive reconstruction is closely related with patients′ quality of life. Besides the basic principle and indication, which both laparoscopic and open gastrectomy must follow, there are some technical characteristics of laparoscopic gastrectomy. So the maneuver and methods of reconstruction for laparoscopic gastrectomy is different from open surgery. Surgeons must carefully evaluate the clinical evidences and patient′s conditions , individualize the optimal type of reconstruction, and conduct clinical trials.