引用文本：中国抗癌协会胃肠道间质瘤专业委员会, 中国抗癌协会胃癌专业委员会, 中华医学会消化内镜学分会经自然腔道内镜手术学组, 等. 中国胃肠道肿瘤双镜联合手术临床实践指南（2025，深圳）[J/CD]. 消化肿瘤杂志（电子版）, 2025, 17(3):282-291.

作者：中国抗癌协会胃肠道间质瘤专业委员会，中国抗癌协会胃癌专业委员会，中华医学会消化内镜学分会经自然腔道内镜手术学组，粤港澳大湾区双镜联合手术联盟

Authors：The Gastrointestinal Stromal Tumor Committee of the Chinese Anti-Cancer Association, Chinese Gastric Cancer Association (CGCA), the NOTES Group of the Digestive Endoscopy Branch of the Chinese Medical Association, the Greater Bay Area Laparoscopic Endoscopic Cooperative Surgery Alliance

摘要：

随着手术技术的发展，微创和保功能手术成为患者和医生的共同追求。近年来，双镜联合手术因其在微创和保功能方面的优势，越来越受重视，但目前尚缺乏循证指南来指导胃肠道肿瘤双镜联合手术的临床操作。本指南由中国抗癌协会胃肠道间质瘤专业委员会、中国抗癌协会胃癌专业委员会、中华医学会消化内镜学分会经自然腔道内镜手术学组及粤港澳大湾区双镜联合手术联盟共同发起，通过系统梳理双镜联合手术在胃肠道肿瘤临床应用方面的相关研究证据，结合专家意见，针对16个指南问题，形成22条推荐意见，涉及双镜联合手术的适应证、抗生素使用、术后早期康复、创口缝合及手术培训等。本指南为双镜联合手术的应用和推广提供了全面的指导建议，以期推动胃肠道肿瘤的精准、微创和保功能治疗。

关键词：双镜联合手术；胃肠道肿瘤；临床实践指南

Abstract：

With advancements in surgical technology, minimally invasive and function preserving approaches have become fundamental objectives of both patients and physicians. In recent years, laparoscopic endoscopic cooperative surgery (LECS) has gained increasing attention for its significant role in achieving these goals. However, a notable gap remains in the availability of evidence-based guidelines to standardize the clinical implementation of LECS for gastrointestinal tumors. This guideline is collaboratively developed by the Gastrointestinal Stromal Tumor Committee of the Chinese Anti-Cancer Association, Chinese Gastric Cancer Association, the NOTES Group of the Digestive Endoscopy Branch of the Chinese Medical Association, and the Greater Bay Area Laparoscopic Endoscopic Cooperative Surgery Alliance. Through integrating the current best evidence and experts' opinions, we developed 22 recommendations on 16 clinical questions, including the LECS indications, use of antibiotics, enhanced recovery after surgery, wound suture, and surgical training. This guideline provides comprehensive guidance and recommendations for LECS, aimed at promoting the precise, minimally invasive and function-preserving treatment of gastrointestinal tumors.

Key words：Laparoscopic endoscopic cooperative surgery; Gastrointestinal tumors; Clinical practice guideline

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