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頁籤選單縮合
| 題 名 | Minimally Invasive Surgery for Gastric Cancer=胃癌之微創手術 |
|---|---|
| 作 者 | 詹德全; | 書刊名 | 臺灣癌症醫學雜誌 |
| 卷 期 | 26:5 2010.10[民99.10] |
| 頁 次 | 頁187-193 |
| 分類號 | 416.243 |
| 關鍵詞 | 胃癌; 微創手術; 腹腔鏡胃切除術; Gastric cancer; MIS; Laparoscopic gastrectomy; |
| 語 文 | 英文(English) |
| 中文摘要 | 自從1991年,Kitano實施首例腹腔鏡胃切除術治療胃癌以來,腹腔鏡胃癌手術已是胃癌外科治療的發展趨勢,初期只應用在早期無淋巴結轉移胃癌病患的局部切除,隨著腹腔鏡器械及技術的進步,在1999年,Uyama使用腹腔鏡進行胃切除及廣泛(D2)淋巴節廓清術,目前在日本越來越多的外科醫師將腹腔鏡應用在進展型胃癌病患。腹腔鏡胃癌根治術相對於開腹手術具有明顯的微創優勢,能達到開腹手術的根治效果,其對早期胃癌的遠近期療效已得到確立,但對於進展型胃癌則尚需大宗病例的前瞻性隨機對照研究的資料,才能得出結論。隨著機器手臂的發展解決了傳統腹腔鏡的不便 ,我們相信腹腔鏡胃癌根除手術的技術定能更成熟普遍,外科醫師只要嚴格把握手術的適應症,術中遵循胃癌手術的原則和標準的根治範圍,腹腔鏡胃癌根除手術,除了其微創的優勢外,也能夠取得與開腹胃癌根除術同樣的近遠期療效。 |
| 英文摘要 | Since laparoscopic surgery for gastric cancer was introduced by Kitano et al. in 1991, an enthusiasm to develop laparoscopic procedures has grown steadily. In the initial phase, gastric cancer limited to the mucosal layer with no risk of lymph node metastasis was treated by laparoscopic wedge resection or intragastric mucosal resection. With advances in equipment and skill in laparoscopic surgery, the attention of surgeons then shifted to more radical procedures such as laparoscopic gastrectomy with lymph node dissection, which is comparable to open radical surgery and can be indicated even in advanced cancer. Several studies have shown that the short-and long-term outcomes of laparoscopic gastrectomy are beneficial for early gastric cancer and are the same as those for open surgery. With the introduction of robotic technology to laparoscopic gastric cancer surgery, extended radical lymph node dissection for advanced gastric cancer could become feasible and safe. Although we still have to solve several remaining issues in the treatment of advanced gastric cancers, laparoscopic surgery would enable us to apply a novel individualized minimally invasive approach, both in terms of degree of incision and extent of radical lymph node dissection. |
本系統中英文摘要資訊取自各篇刊載內容。