论文部分内容阅读
1991年,Kitana等人完成了首例腹腔镜辅助毕Ⅰ式胃大部切除术,1992年新加坡外科医师yoh,首先完成了腹腔镜毕Ⅱ式胃大部切除术。我国第二军医大学郑成竹教授于1993年开始用腹腔镜进行胃切除术。早期由于该手术操作复杂,术中止血困难,手术费用昂贵等原因开展非常缓慢,但随着医疗设备的进步,该技术已日趋成熟。目前,腹腔镜治疗胃良性肿瘤已取得共识,但对于恶性肿瘤却有争议,大多数专家认为腹腔镜手术可用于早期胃癌根治性切除和晚期胃癌的姑息性治疗。现根据国内外文献对腹腔镜在胃肿瘤中的应用作一综述。
In 1991, Kitana et al. Completed the first laparoscopic assisted radical gastrectomy. In 1992, Singapore surgeon yoh completed the first laparoscopic complete gastrectomy. Professor Zheng Chengzhu of Second Military Medical University in China started laparoscopic gastrectomy in 1993. Early due to the complexity of the operation, intraoperative bleeding difficulties, expensive surgery and other reasons very slowly, but as the medical equipment advances, the technology has matured. At present, laparoscopic treatment of gastric benign tumors have been made consensus, but for malignant tumors is controversial, most experts believe that laparoscopic surgery can be used for radical resection of early gastric cancer and palliative treatment of advanced gastric cancer. According to the domestic and foreign literature on the application of laparoscopy in gastric cancer are reviewed.