The development and future prospects of single port laparoscopic surgery for gastric cancer
单位：1.南方医科大学南方医院 普通外科, 广东 广州 510515； 2.南方医科大学 第一临床医学院, 广东 广州 510515
Authors: Chen Tao1, Liang Weiqi1, Chen Jiawen1,2, Jiang Jiayu1,2
Unit: 1.Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong, China； 2.The First School of Clinical Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China
胃癌是一种全世界高发的恶性肿瘤，其发病率及病死率均居我国前3 位，对人民群众的生命健康造成了极大的危害。当前，胃癌治疗的主要策略仍然是以根治性手术为主的综合疗法。日本学者Kitano等于1994 年报道了全球第1例腹腔镜胃癌根治术，自此腹腔镜下的胃癌根治术在临床上经历了近30年的探索和发展。随着外科手术治疗日益微创化和规范化，外科医生微创理念的提升以及患者对创口美容效果要求的提高，单孔腹腔镜胃切除术因其潜在的更加微创优势而备受关注。单孔腹腔镜是比传统多孔腹腔镜技术更加微创、更加美容的手术技术，具有创伤更小、术后疼痛更轻、消化道功能恢复更快及美容效果更令人满意等优点，近年来已经广泛应用于胆囊切除术和结肠切除术等手术。在胃癌治疗领域，国内外研究已经证实了单孔腹腔镜胃切除术的安全性及可行性，但目前仍然缺乏多中心、前瞻性、大样本临床研究证据，并且仍没有统一的指南推荐。笔者通过查阅国内外相关研究文献并结合临床实践经验，旨在对单孔腹腔镜胃癌手术的发展历程、应用现状及发展前景进行探讨。
Gastric cancer is a malignant tumor with high incidence and mortality rates worldwide, ranking among the top three in China, posing a great threat to people's health. Currently, the main strategy for gastric cancer treatment is comprehensive therapy with curative surgery as the main approach. The world's first laparoscopic radical gastrectomy for gastric cancer was reported by Japanese scholar Kitano et al. in 1994. Since then, clinical practice has witnessed almost three decades of exploration and development in laparoscopic radical gastrectomy. With the increasing minimally invasive and standardized surgical treatment, the improvement of surgical concepts of surgeons, and the increasing demand for cosmetic effects of wounds by patients, single -incision laparoscopic gastrectomy has attracted great attention due to its potential advantages of being more minimally invasive. Single-incision laparoscopy is a surgical technique that is more minimally invasive and cosmetic than traditional multi -port laparoscopy, with advantages such as smaller trauma, lighter postoperative pain, faster recovery of gastrointestinal function, and more satisfactory cosmetic effects. In recent years, it has been widely used in surgeries such as cholecystectomy and colon resection. In the field of gastric cancer treatment, domestic and foreign studies have confirmed the safety and feasibility of single-incision laparoscopic gastrectomy, but there is still a lack of multicenter, prospective, large-sample clinical research evidence, and there is still no unified guideline recommendation. The author aims to explore the development history, current application status, and development prospects of single-incision laparoscopic gastrectomy for gastric cancer surgery by reviewing relevant domestic and foreign research literature and combining with clinical practice experience.
Key Words: Gastric cancer; Single-port; Laparoscopy; Minimal invasive surgery