摘要随着循证医学资料的不断积累,针对早、中期胃肠肿瘤的腹腔镜手术正在从“可以这样做”转变为“应该这样做”.我们提出了针对这类疾病的胃肠腔镜规模化,按适应证选择手术方式,而不是按医生喜好取舍.胃肠腔镜规模化的提出,伴随着特定的教学模式产生,也将与胃肠腔镜规范化相互促进.

abstractsAs the evidence-based medicine of gastrointestinal laparoscopy (GIL) for gastrointestinal cancer accumulated,the procedures have become a “should be done”treatment,not a “can be done” ones,for early or median gastric or colorectal cancer.So,we propose that GIL for cancer should be indicationization,rather than doctorization.The former is that the procedures should be performed according to indication of the gastrointestinal tumors,and the latter is that the different procedures applied depend on the doctor's experience.For indicationization of GIL,special training program is suggested and format or standardization of GIL for cancer should be abstracted.