中国实用外科杂志2026，Vol.46Issue(7)：888-892,5.DOI:10.19538/j.cjps.issn1005-2208.2026.07.06
胃癌保功能手术中双镜联合技术应用价值及评价
Application value and evaluation of laparo-endoscopic combined surgery in function-preserving gastrectomy for gastric cancer
摘要
Abstract
In the transformation of gastric cancer surgery from traditional radical resection to emphasizing both radicality and function preservation,laparo-endoscopic combined surgery(LECS)has become a core supporting technique for function-preserving gastrectomy in early gastric cancer due to its advantages of precise localization,minimal invasiveness and controllable safety.Endoscopy enables precise lesion localization,boundary marking,mucosal dissection and intraluminal exposure,while laparoscopy achieves safe resection,lymph node evaluation,gastric wall defect repair and intra-abdominal exploration.The synergistic effect of the two modalities effectively resolves the contradictions among lesion localization,resection safety,function preservation and radical guarantee faced by single minimally invasive technique,significantly reduces perioperative complications,accelerates postoperative recovery,and improves long term quality of life.With strict adherence to appropriate indications,standardized procedural protocols,and enhanced multidisciplinary collaboration,it can achieve oncological outcomes comparable to those of standard radical gastrectomy.As the technique continues to be optimized and the clinical evidence matures,combined laparoscopic and endoscopic function-preserving surgery is expected to play an increasingly important role in the management of early gastric cancer,offering patients less surgical trauma and better quality of life.关键词
胃癌/保功能手术/双镜联合/腹腔镜/内镜Key words
gastric cancer/function-preserving surgery/laparoendoscopic combined surgery/laparoscopy/endoscopy分类
医药卫生引用本文复制引用
臧明德,司牟博,刘凤林..胃癌保功能手术中双镜联合技术应用价值及评价[J].中国实用外科杂志,2026,46(7):888-892,5.基金项目
National Natural Science Foundation of China(No.82373381) 国家自然科学基金项目(No.82373381) （No.82373381）
