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腹腔镜手术在胃肠道恶性肿瘤中的应用已经有了数十年的历史。基于其微创、安全、快速康复等方面的优势逐渐得到了广泛认可和推广。虽然其在恶性肿瘤方面的应用仍缺乏高级别循证学证据,目前国内外部分学研究支持其远期疗效与传统开放手术无异,但基于恶性肿瘤手术操作的基本要求,腹腔镜下手术需严格的遵循其适应证,且对操作者的技术与经验要求相对较高。全腹腔镜、腹腔镜辅助下、乃至手辅助腹腔镜等手术方式的优化以及远期疗效等方面仍然是当前研究关注的问题。近年来,手术机器人也在恶性肿瘤腹部手术方面崭露头角。本文将就腹腔镜手术在胃肠道恶性肿瘤方面的研究进展做一综述。
Laparoscopic surgery in gastrointestinal cancer has been in use for decades. Based on the advantages of minimally invasive, safe and rapid rehabilitation, it has been widely recognized and promoted. Although its application in malignant tumors is still lack of high-level evidence-based evidence-based research, some studies at home and abroad to support its long-term efficacy is no different from the traditional open surgery, but based on the basic requirements of malignant tumor operation, laparoscopic surgery Strict compliance with the indications, and the operator’s technical and experience requirements are relatively high. Total laparoscopy, laparoscopic assisted, and even hand-assisted laparoscopic surgery and other aspects of the optimization and long-term efficacy is still the current research issues of concern. In recent years, surgical robots have also emerged in the field of abdominal surgery for malignant tumors. This article will review the progress of laparoscopic surgery in gastrointestinal malignancies.