关键词: 微创外科, 腹腔镜, 发展趋势

Abstract: Twenty year progression and future directions of minimally invasive surgery        ZHENG Min-Hua，MA Jun-Jun, WU Chao. Department of Gastrointestinal Surgery, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai Minimal Invasive Surgery Center, Shanghai 200025, China
Corresponding author: ZHENG Min-Hua, E-mail: zmhtiger@
yeah.net
Abstract    Laparoscopic minimally invasive surgery has gone through three stages of development, from "do you want to do it?" to "how to do it?", and then to "what to do?" In the past 30 years, the scope of minimally invasive surgery has expanded from the initial cholecystectomy to the fields of gastrointestinal, hepatobiliary and pancreatic, metabolic, and hernia surgery. Simultaneously, the number and complexity of performed surgery have gradually increased. Looking to the future, minimally invasive surgery will furtherly developed with the advances in the treatment of the disease. Moreover, artificial intelligence, virtual reality, next-generation mobile communication transmission, and tumor-targeted therapy will help itself to realize further innovation with minimally invasive surgery. Also, it will also uphold the concept of "green surgery" to achieve sustainable development.

Key words: minimally invasive surgery, laparoscopy, future direction