According to the current
evidence-based medicine researches, the eastern and western countries have reached a
consensus that D2 operation is a standardized
procedure for advanced
gastric cancer.However, the postoperative five-year
survival rate is still not satisfactory. Professor Gong Jianping of Tongji
Hospital, Tongji Medical Gollege of Huazhong
University of
Science and
Technology proposed a theory of
membrane anatomy (the third
element of surgical
anatomy) and the concept of
cancer leakage—an epoch-making concept in surgical
anatomy. The Department of Gastrointestinal
Surgery, The Affiliated
Hospital of Guizhou Medical
University was honored to be selected as one of the first domestic
replication units of 3D laparoscopic radical
gastrectomy under
membrane anatomy. Professor Gong Jianping has visited our
hospital several times for surgical demonstration, explanation of
membrane anatomy theory and replication
training. Through the
understanding of
membrane anatomy theory, we found that 3D laparoscopic radical
gastrectomy guided by
membrane anatomy can achieve good results, e.g less
bleeding, complete resection, complete
lymph node dissection and avoidance of side damage, meanwhile the operation is simple and safe. At the same
time, it can avoid the shedding of
cancer cells, so as to reduce the iatrogenic
leakage of
cancer and improve the
efficacy of radical
gastrectomy. In addition, the standardized
procedure of laparoscopic radical
gastrectomy makes it scientific, reproducible and easy to be popularized.