中国实用外科杂志
• 普通外科进展 • 上一篇 下一篇
郑民华
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摘要:
以腹腔镜为平台的微创手术经过30年的发展取得了长足的进步,被誉为外科发展的里程碑。特别是在胃肠外科领域,手术数量不断增加,腹腔镜手术率稳步提升,建立了从戳孔、手术入路、淋巴结清扫、消化道重建、全腹腔镜手术、免切口手术、3D腹腔镜、机器人手术等系列的手术规范。微创胃肠外科今后的发展将更多体现在功能的保护与保留,而非仅限于切口的大小;另一方面,则体现在更多设备与平台的创新与发展。
关键词: 腹腔镜, 胃肠外科
Abstract:
Track and tendency of laparoscopic surgery for gastrointestinal and colorectal surgery ZHENG Min-Hua. Department of Gastrointestinal Surgery, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine;Shanghai Minimal Invasive Surgery Center, Shanghai 200025, China Abstract Laparoscopic surgery, as a milestone of the development of modern surgery, has got a brilliant progress in the past 30 years, especially in the field of gastrointestinal and colorectal surgery, which has a continuous increase in volume and frequency. A series of key techniques, such as port-site setup, surgical approach, lymph node dissection, GI tract reconstruction, totally laparoscopic surgery, scarless surgery, 3D laparoscopy, and robotic surgery, have been well established and standardized. Technically, it would be more important to get a functional preservation rather than a small size of incision, for the minimally invasive surgery in gastrointestinal and colorectal diseases in the future. And on the other hand, innovation of new device and instruments of minimally invasive surgery is also very important for gastrointestinal and colorectal surgery.
Key words: laparoscopy, gastrointestinal and colorectal surgery
郑民华. 腹腔镜胃肠外科手术发展轨迹与趋势[J]. 中国实用外科杂志, DOI: 10.19538/j.cjps.issn1005-2208.2018.01.12.
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