【摘要】 随着微创医学的发展,腹腔镜与内镜技术的协同应用推动了早期胃癌手术治疗的革新,治疗理念也从传统的根治性手术向肿瘤根治与功能保留并重的方向转变。双镜联合手术(laparoscopic endoscopic cooperative surgery,LECS)作为一种创新术式,结合了腔镜与内镜的优势,实现了胃癌治疗的精准化与个体化。本文系统阐述了LECS的技术发展历程、在胃癌治疗中的应用原理,总结并描述其在胃癌治疗中最新的适应证和临床价值;深入探讨在当代微创重建与精准切除的临床实践中,LECS所面临的新挑战,并对其未来发展趋势进行展望,旨在为早期胃癌治疗提供全面的理论与实践参考,提高胃癌患者的治疗效果和生活质量。更多还原

【Abstract】 With the development of minimally invasive medicine,the coordinated application of laparoscopic and endoscopic technologies has promoted the innovation of surgical treatment for early gastric cancer.The treatment concept has also shifted from traditional radical surgery to the approach that emphasizes both tumor radical resection and function preservation.Laparoscopic endoscopic cooperative surgery(LECS),as an innovative surgical procedure,combines the advantages of laparoscopy and endoscopy,achieving precision and individualization in the treatment of gastric cancer.This paper not only systematically elaborates on the technical development process of LECS and its application principles in the treatment of gastric cancer,but also summarizes and describes the latest indications and clinical value of LECS.The paper also deeply explores the new challenges faced by LECS in contemporary clinical practice of minimally invasive reconstruction and precise resection,and prospects its future development trend,aiming to provide a comprehensive theoretical and practical reference for the treatment of early gastric cancer and improve the treatment effect and quality of life of gastric cancer patients.更多还原