[Shifting paradigm toward minimally invasive gastrectomy for gastric cancer--China's contribution]

Zhonghua Wei Chang Wai Ke Za Zhi. 2021 Aug 25;24(8):657-661. doi: 10.3760/cma.j.cn.441530-20210728-00301.
[Article in Chinese]

Abstract

Surgery is the cornerstone of gastric cancer treatment. However, the traditional open surgery, which has been followed for more than 100 years, has restricted the development of gastric cancer surgery due to its "major trauma" defects. Therefore, how to scientifically develop laparoscopic and minimally invasive surgery (MIS) has become the main research orientation and focus worldwide for the development of gastric cancer surgery in recent 30 years, especially in China, a region of high incidence of gastric cancer. In the past 30 years, our Chinese colleagues in gastric cancer surgery have carried out systematic researches on key issues, and offered new theories of minimally invasive anatomy, new techniques for MIS, and new evidence of MIS for advanced gastric cancer. The system of the key surgical technology innovation for gastric cancer MIS was established, promoting a crucial move in the development of gastric cancer surgery. This article aims to commemorate the 30-year development of laparoscopic surgery in China and pay tribute to the strength produced by all the Chinese minimally invasive surgeons.

外科手术是胃癌治疗的核心。然而,沿袭百余年的传统开腹手术,因其存在"巨创"的缺陷,制约了胃癌外科的发展。因此,如何科学发展腹腔镜微创外科,是近30年国际胃癌外科的主要研究方向和焦点,更是中国这一胃癌高发国家的时代命题。中国胃癌外科同道们围绕关键问题展开了历经近30年的系统性研究,贡献了胃癌微创解剖学新理论、胃癌微创外科新技术和进展期胃癌微创外科新证据,完成了胃癌微创外科关键技术体系的创新,推动了胃癌外科范式变革。本文简要评述,谨此纪念中国腹腔镜外科30年,向胃癌微创外科的中国力量致敬。.

Keywords: Laparoscopic surgery; Minimally invasive surgery; Stomach neoplasms.

MeSH terms

  • China
  • Gastrectomy
  • Humans
  • Laparoscopy*
  • Lymph Node Excision
  • Stomach Neoplasms* / surgery