摘要经过20余年的发展,腹腔镜胃癌外科手术已取得长足进步.早期胃癌腹腔镜手术已被指南推荐为临床常规应用,进展期胃癌腹腔镜手术临床研究的初步结果也令人鼓舞.然而,腹腔镜手术技术已日趋成熟并达到高位平台期,通过手术技术改进和提高带来的患者获益已凸显瓶颈.要实现腹腔镜胃癌外科跨越式发展,亟需引入当今高科技前沿技术,改变固有的“经验依赖型外科”范式;加强跨领域协同合作将是突破腹腔镜技术发展瓶颈的关键,也是未来微创外科发展的新趋势.

abstractsAfter more than 20 years of development,laparoscopic gastric cancer surgery has made considerable progress.Laparoscopic surgery for early gastric cancer has been recommended by the guidelines for routine clinical application.The preliminary results of clinical research on laparoscopic surgery for advanced gastric cancer are encouraging.However,as far as surgical technology is concerned,it has matured and reached a high plateau stage.The benefit of patients brought by the improvement of surgical technology has become a bottleneck,and it is difficult to be improved any more.In order to realize the leapfrog development of laparoscopic gastric cancer surgery,it is urgent to introduce the high-tech cutting-edge technology,make rational use of "black science and technology" and strengthen cross-domain collaboration,which are the key to break through the bottleneck of laparoscopic gastric cancer surgery technology development,as well as the new trend of minimally invasive surgery development in the future.