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中华普通外科学文献(电子版) ›› 2025, Vol. 19 ›› Issue (04) : 217 -224. doi: 10.3877/cma.j.issn.1674-0793.2025.04.001

专家共识

完全单孔腹腔镜胃癌手术操作专家共识(2025版)
中国研究型医院学会机器人与腹腔镜外科专业委员会, 《中华消化外科杂志》编辑委员会   
  • 收稿日期:2025-07-02 出版日期:2025-08-01
  • 基金资助:
    重庆市技术创新与应用发展重点专项(CSTB2022TIAD-KPX0184); 中国科技期刊卓越行动计划(卓越二期-B1-090)

Expert consensus on surgical procedure of pure single-incision laparoscopic surgery for gastric cancer (2025 edition)

Robotic and Laparoscopic Surgery Committee of Chinese Research Hospital Association, Editorial Board of the Chinese Journal of Digestive Surgery   

  • Received:2025-07-02 Published:2025-08-01
引用本文:

中国研究型医院学会机器人与腹腔镜外科专业委员会, 《中华消化外科杂志》编辑委员会. 完全单孔腹腔镜胃癌手术操作专家共识(2025版)[J/OL]. 中华普通外科学文献(电子版), 2025, 19(04): 217-224.

Robotic and Laparoscopic Surgery Committee of Chinese Research Hospital Association, Editorial Board of the Chinese Journal of Digestive Surgery. Expert consensus on surgical procedure of pure single-incision laparoscopic surgery for gastric cancer (2025 edition)[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2025, 19(04): 217-224.

随着微创手术的发展,完全单孔腹腔镜技术(pSILS)在胃癌治疗中逐渐受到重视。pSILS具有微创和美容优势,但对手术技术要求较高,存在局限性。中国研究型医院学会机器人与腹腔镜外科专业委员会及《中华消化外科杂志》编辑委员会组织国内胃肠外科专家,基于循证医学证据和临床实践,针对pSILS在胃癌根治术中的应用、适应证、手术操作及术后管理等方面制订《完全单孔腹腔镜胃癌手术操作专家共识(2025版)》,旨在规范pSILS在胃癌治疗中的应用,提高手术安全性和有效性,为临床提供科学指导。

With the advancement of minimally invasive surgery, pure single-incision laparoscopic surgery (pSILS) has garnered increasing attention in the treatment of gastric cancer. The pSILS has advantages in minimally invasive and cosmetic procedures, but it requires high surgical techniques and has limitations. The Robotic and Laparoscopic Surgery Committee of Chinese Research Hospital Association and Editorial Board of the Chinese Journal of Digestive Surgery have organized domestic gastrointestinal surgery experts to develope the Expert Consensus on Surgical Procedure of Pure Single-incision Laparoscopic Surgery for Gastric Cancer (2025 Edition) based on evidence-based medicine and clinical practice. The aim is to standardize the application of pSILS in gastric cancer treatment, improve surgical safety and effectiveness, and provide scientific guidance for clinical practice.

[1]
Pelosi MA, Pelosi MA. Laparoscopic appendectomy using a single umbilical puncture (minilaparoscopy)[J]. J Reprod Med, 1992, 37(7): 588–594.
[2]
Caruana JA, McCabe MN, Smith AD, et al. Roux en Y gastric bypass by single-incision mini-laparotomy: outcomes in 3, 300 consecutive patients[J]. Obes Surg, 2011, 21(7): 820-824.
[3]
Omori T, Oyama T, Akamatsu H, et al. Transumbilical single-incision laparoscopic distal gastrectomy for early gastric cancer[J]. Surg Endosc, 2011, 25(7): 2400–2404.
[4]
Ahn SH, Park DJ, Son SY, et al. Single-incision laparoscopic total gastrectomy with D1+beta lymph node dissection for proximal early gastric cancer[J]. Gastric Cancer, 2014, 17(2): 392–396.
[5]
Omori T, Yamamoto K, Hara H, et al. A randomized controlled trial of single-port versus multi-port laparoscopic distal gastrectomy for gastric cancer[J]. Surg Endosc, 2021, 35(8): 4485–4493.
[6]
Kang SH, Yoo M, Hwang D, et al. Postoperative pain and quality of life after single-incision distal gastrectomy versus multiport laparoscopic distal gastrectomy for early gastric cancer-a randomized controlled trial[J]. Surg Endosc, 2023, 37(3): 2095–2103.
[7]
Kang SH, Lee E, Lee S, et al. Long-term outcomes of single-incision distal gastrectomy compared with conventional laparoscopic distal gastrectomy: A propensity score-matched analysis[J]. J Am Coll Surg, 2022, 234(3): 340–351.
[8]
Fu YY, Yao Q, Shao WZ, et al. Single-port versus conventional laparoscopic distal gastrectomy for gastric cancer: A systematic review and meta analysis[J]. Asian J Surg, 2023, 46(2): 1073–1074.
[9]
Vilaça J, Pinto JP, Fernandes S, et al. Comparative study of 2D and 3D optical imaging systems: laparoendoscopic single-site surgery in an ex vivo model[J]. Surg Innov, 2017, 24(6): 598–604.
[10]
Balaji S, Singh P, Sodergren MH, et al. A randomized controlled study to evaluate the impact of instrument and laparoscope length on performance and learning curve in single-incision laparoscopic surgery[J]. Surg Innov, 2015, 22(6): 621–628.
[11]
Corker HP, Singh P, Sodergren MH, et al. A randomized controlled study to establish the effect of articulating instruments on performance in single-incision laparoscopic surgery[J]. J Surg Educ, 2015, 72(1): 1–7.
[12]
Kim SJ, Lee SC. Technical and instrumental prerequisites for single-port laparoscopic solo surgery: state of art[J]. World J Gastroenterol, 2015, 21(15): 4440–4446.
[13]
Park SH, Kim YN, Hwang J, et al. Safety and feasibility of reduced-port robotic distal gastrectomy for gastric cancer: A phase Ⅰ/Ⅱ clinical trial using the da Vinci Single Port (SP) robotic system[J]. Sci Rep, 2023, 13(1): 18578.
[14]
Lee Y, Kim HH. Single-incision laparoscopic gastrectomy for gastric cancer[J]. J Gastric Cancer, 2017, 17(3): 193–203.
[15]
Kang SH, Cho YS, Min SH, et al. Intracorporeal overlap gastro-gastrostomy for solo single-incision pylorus-preserving gas-trectomy in early gastric cancer[J]. Surg Today, 2019, 49(12): 1074–1079.
[16]
Takata A, Nakajima K, Kurokawa Y, et al. Single-incision laparoscopic partial gastrectomy for gastric submucosal tumors without compromising transumbilical stapling[J]. Asian J Endosc Surg, 2014, 7(1): 25–30.
[17]
Kanaji S, Nakamura T, Yamamoto M, et al. Successful laparoscopic gastric resection and safe introduction of a single-incision technique for gastric submucosal tumors located near the esophagogastric junction[J]. Surg Today, 2015, 45(2): 209–214.
[18]
Omori T, Fujiwara Y, Yamamoto K, et al. The safety and feasibility of single-port laparoscopic gastrectomy for advanced gastric cancer[J]. J Gastrointest Surg, 2019, 23(7): 1329-1339.
[19]
Kim SM, Ha MH, Seo JE, et al. Comparison of single-port and reduced-port totally laparoscopic distal gastrectomy for patients with early gastric cancer[J]. Surg Endosc, 2016, 30(9): 3950–3957.
[20]
中华医学会外科学分会腹腔镜与内镜外科学组, 中国研究型医院学会机器人与腹腔镜外科专业委员会, 中国抗癌协会腔镜与机器人外科分会, 等 . 腹腔镜胃癌手术操作指南 (2023版)[J]. 中华消化外科杂志, 2023, 22(4): 425–436.
[21]
Ahn SH, Son SY, Jung DH, et al. Pure single-port laparoscopic distal gastrectomy for early gastric cancer: comparative study with multi-port laparoscopic distal gastrectomy[J]. J Am Coll Surg, 2014, 219(5): 933–943.
[22]
Ahn SH, Son SY, Jung DH, et al. Solo intracorporeal esopha-gojejunostomy reconstruction using a laparoscopic scope holder in single-port laparoscopic total gastrectomy for early gastric cancer[J]. J Gastric Cancer, 2015, 15(2): 132–138.
[23]
杜广胜, 江恩来, 邱远, 等 . 单孔加一孔腹腔镜全胃切除食管空肠π形吻合术治疗胃癌的可行性及初步技术经验[J]. 中华胃肠外科杂志, 2018, 21(5): 556–563.
[24]
Ertem M, Ozveri E, Gok H, et al. Single incision laparoscopic total gastrectomy and D2 lymph node dissection for gastric cancer using a four-access single port: the first experience[J]. Case Rep Surg, 2013, 2013: 504549.
[25]
Lee B, Lee YT, Park YS, et al. Learning curve of pure single-port laparoscopic distal gastrectomy for gastric cancer[J]. J Gastric Cancer, 2018, 18(2): 182–188.
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