引用文本：汪亦民, 薛英威. 免气腹腹腔镜辅助胃癌手术的现状与未来[J/CD]. 消化肿瘤杂志（电子版）, 2025, 17(1):16-22.

作者：汪亦民, 薛英威

单位：哈尔滨医科大学附属肿瘤医院 胃肠外科，黑龙江 哈尔滨 150080

Authors：Wang Yimin, Xue Yingwei

Unit：Department of Gastroenterology, Harbin Medical University Cancer Hospital, Harbin 150080, Heilongjiang, China

摘要：

免气腹装置应用于腹部外科微创手术已有30余年历史，其设计初衷是保护高危人群免于CO₂人工气腹造成的副损伤。胃癌微创手术领域也有国内外同行在不断尝试免气腹手术，但鲜有推广应用的报道。本文系统性回顾了免气腹腹腔镜技术在胃癌手术中的发展历程和应用现状，同时也结合哈尔滨医科大学附属肿瘤医院开展370例免气腹腹腔镜辅助胃癌手术的相关经验，围绕免气腹手术的优势和技术可行性，探讨该技术所面临的核心问题，阐述其临床价值和意义。

关键词：腹腔镜；免气腹腹腔镜；胃癌

Abstract：

The gasless laparoscopic approach has been utilized in minimally invasive abdominal surgery for over 30 years, initially developed to mitigate complications of CO₂ pneumoperitoneum in high-risk populations. Within the field of minimally invasive gastric cancer surgery, both domestic and international surgeons have persistently explored gasless techniques, yet widespread clinical adoption remains limited. This article systematically reviews the historical evolution and current applications of gasless laparoscopy in gastric cancer surgery. Furthermore, by integrating the institutional experience of 370 gasless laparoscopy-assisted gastric cancer surgeries performed at Harbin Medical University Cancer Hospital, we critically examine the technical challenges associated with this method, with particular focus on its procedural advantages and technical feasibility. The article also elaborates on the clinical value and significance of gasless approaches.

Key words：Laparoscopy; Gasless laparoscopy; Gastric cancer

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