中国实用外科杂志2026，Vol.46Issue(7)：880-883,4.DOI:10.19538/j.cjps.issn1005-2208.2026.07.04
精准诊疗时代胃肿瘤双镜联合诊治现状及发展趋势
The current status and development of laparoscopic-endoscopic cooperative diagnosis and treatment for gastric tumors in the era of precision diagnosis and treatment
摘要
Abstract
Laparoscopic and endoscopic cooperative surgery(LECS)combines the advantages of precise endoscopic resection and laparoscopic suturing and lymphadenectomy,enabling accurate tumor localization,complete resection,and function preservation.Currently,various derivative procedures have been developed,including endoscopy assisted laparoscopic wedge resection(EAWR),laparoscopy assisted endoscopic resection(LAER),and non exposure techniques(e.g.,CLEAN-NET),each suitable for lesions at different locations,depths of invasion,and risks of metastasis,thereby broadening the indications.Clinical evidence has demonstrated that LECS is safe and effective for early gastric cancer,gastric stromal tumors,and tumors in special locations,and non exposure techniques further reduce the risks of peritoneal contamination and dissemination.In the future,with the integration of three dimensional reconstruction and artificial intelligence assisted planning,it is expected to optimize decision making for lymph node dissection and reduce complications,and indications may be cautiously extended to higher risk stages.However,its long term oncological outcomes still require high level evidence based support from multicenter,large sample,prospective studies.关键词
胃肿瘤/腹腔镜/内镜/腹腔镜与内镜联合手术Key words
gastric tumor/laparoscopy/endoscopy/laparo-scopic-endoscopic cooperative surgery分类
医药卫生引用本文复制引用
郑民华,赵轩,马君俊..精准诊疗时代胃肿瘤双镜联合诊治现状及发展趋势[J].中国实用外科杂志,2026,46(7):880-883,4.基金项目
Shanghai Municipal Commission of Economy and Informatization-Innovative Medical Device Application Demonstration Project(No.23SHS03000,No.23SHS03000-01,No.23SHS03000-02,No.23SHS03000-03) （No.23SHS03000,No.23SHS03000-01,No.23SHS03000-02,No.23SHS03000-03）
Shanghai Municipal Commission of Economy and Informatization-AI for Science(AI4S)Special Program(No.2025-GZL-RGZN-02045) 上海市经济和信息化委员会-创新医疗器械应用示范项目(No.23SHS03000,No.23SHS03000-01,No.23SHS03000-02,No.23SHS03000-03) （AI4S）
上海市经济和信息化委员会-科学智能"百团百项"专项(No.2025-GZL-RGZN-02045) （No.2025-GZL-RGZN-02045）
