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微创技术在胃肠肿瘤外科中的应用现状及进展

张朝军

转化医学杂志2016,Vol.5Issue(5):257-260,4.
转化医学杂志2016,Vol.5Issue(5):257-260,4.DOI:10.3969/j.issn.2095-3097.2016.05.001

微创技术在胃肠肿瘤外科中的应用现状及进展

The applied status and advances of minimally invasive surgery on gastrointestinal tumor

张朝军1

作者信息

  • 1. 100048 北京,海军总医院普通外科
  • 折叠

摘要

Abstract

Minimally invasive surgery refers to a new surgical technique that has the mini-mum injury and gets the best surgical curative effect. In the last 20 years, the minimally invasive surgery represented by laparoscopy surgery has come a long way. Compared with open surgery, it has the similar efficacy but less complications. Endoscopic mucosal resection and endoscopic submucosal dissection has become the endoscopic main way of early gastric cancer and precancerous lesions. For advanced gastric cancer, totally laparoscopic gastric cancer radical may be the development direction of gastric cancer surgery in the future. We optimized the lymph node cleaning operation process, at the same time, we created a totally laparoscopic “beta” form Billroth Ⅱ anastomosis, which was safe and simple, shorten operation time and had less complications. In colorectal surgery, minimally invasive technology is conducive to the protection of pelvic blood vessels and plant nerve plexus, and lymphadenectomy is more thoroughly. It can realize anal sphincter preserving operation for ultra-low rectal carcinoma. In addition, with the development of all kinds of equipments related to laparoscopic surgery, we can have more precise operation, more accurate resection, less bleeding and greater se-curity. The innovation of the concept and equipment of minimally invasive surgical techniques may lead to a new revolution.

关键词

微创技术/胃癌/直肠癌/腹腔镜技术

Key words

Minimally invasive technique/Gastric cancer/Rectal cancer/Laparoscopic technique

分类

医药卫生

引用本文复制引用

张朝军..微创技术在胃肠肿瘤外科中的应用现状及进展[J].转化医学杂志,2016,5(5):257-260,4.

基金项目

国家自然科学基金资助项目(81370479) (81370479)

转化医学杂志

OACSTPCD

2095-3097

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