如何做好腹腔镜下胃癌根治手术:iFIST理念
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湖南省科技厅“技术创新引导计划”资助项目(2018SK52604)。


How to successfully perform a laparoscopic radical gastrectomy: the iFIST concept
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    摘要:

    腹腔镜胃癌根治手术自开创至今已经历20余年的发展,随着微创外科理念的不断深入及腹腔镜器械的不断革新,腹腔镜胃癌手术在世界范围已广泛开展。我国虽起步较晚,也取得了长足进步,但腹腔镜胃癌手术的技术水平仍良莠不齐,严重影响临床疗效。笔者就如何做好腹腔镜下胃癌根治术作一概述。提出iFIST理念,即:严格适应证、干净无血术野、腹腔充分灌洗、标本完整、全腹腔镜下手术。

    Abstract:

    Laparoscopic radical gastrectomy has developed for more than 20 years since its inception. With the extension of the concept of minimally invasive surgery and the continuous innovation of laparoscopic instruments, laparoscopic gastrectomy for gastric cancer has been widely carried out around the world. In our country, laparoscopic gastric surgery began relatively late, but great progress has also been made, and yet, the technical levels of laparoscopic radical gastrectomy are dissimilar, which affects the clinical efficacy seriously. Here, the authors provide an overview of how to successfully perform a laparoscopic radical gastrectomy, and propose the concept of iFIST that consists of the “strict indications”, “clear and bloodless surgical field”, “adequate peritoneal irrigation”, “intact specimens”, and “totally laparoscopic operation”.

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赵先辉,刘合利.如何做好腹腔镜下胃癌根治手术:iFIST理念[J].中国普通外科杂志,2021,30(4):380-385.
DOI:10.7659/j. issn.1005-6947.2021.04.002

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  • 收稿日期:2021-03-18
  • 最后修改日期:2021-04-25
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  • 在线发布日期: 2021-09-03