The key technical standards and evaluation of laparoscopic radical gastrectomy for gastric cancer
YU Jiang
LI Guo-xin
Abstract：Laparoscopic radical gastrectomy is a minimally invasive and precise surgical approach.Over nearly 30 years of exploration and efforts,it has become the standard treatment for early gastric cancer in the lower and middle parts of the stomach.Additionally,its application has gradually expanded to include advanced-stage gastric cancer,total gastrectomy,proximal gastrectomy,and esophagogastric junction cancer.The key technical steps of laparoscopic radical gastrectomy involve trocar layout and establishment of pneumoperitoneum,exploration with cytological examination of shed cells,standardized lymphadenectomy,margin assessment,digestive tract reconstruction,specimen handling,and lymph node retrieval,all guided by corresponding quality control and evaluation standards.Presently,various clinical studies on laparoscopic radical gastrectomy,such as CLASS,KLASS,JCOG,along with relevant expert consensus and guidelines,serve as references for standardization and normalization of laparoscopic gastric cancer surgery in our country.Advancements in robotic surgery,3D laparoscopy,fluorescent laparoscopy,and the rise of organ-preserving procedures represent the innovative directions in the current development of laparoscopic radical gastrectomy.Expectations lie in conducting more standardized clinical research in the future to address contentious clinical issues and elevate the diagnostic and therapeutic standards of laparoscopic gastric cancer surgery in our country.
Keywords：laparoscopyradical gastrectomylymph node dissectionrobotic surgeryprecision surgery
Publication Date：2024-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 61-65 )