微创外科是指以最小侵袭或损伤达到最佳外科疗效的一种新的外科技术。近20年来，以腹腔镜技术为代表的微创外科技术已经取得了长足的发展，腹腔镜手术与开腹手术疗效相当，并发症更少。内镜下黏膜切除术和内镜下黏膜下剥离术已经成为内镜下治疗早期胃癌及癌前病变的主要方式。对于进展期胃癌，完全腹腔镜下胃癌根治术可能是未来胃癌微创手术的发展方向。在优化程序化的淋巴结清扫操作流程的同时，完全腹腔镜下远端胃癌根治β形毕Ⅱ式吻合技术诞生了，该吻合技术安全、简便，实施时间短，并发症少。微创技术在结直肠手术中，有利于盆腔血管及自主神经丛的保护，淋巴结清扫更彻底，能实现超低位的保肛手术。另外，腹腔镜手术相关的各种设备、器械的发展，使手术操作更精确、切除更精准、出血更少、安全性更高。微创外科技术理念和设备的创新可能导致一场新的微创外科技术革命。%Minimally invasive surgery refers to a new surgical technique that has the mini-mum injury and gets the best surgical curative effect. In the last 20 years, the minimally invasive surgery represented by laparoscopy surgery has come a long way. Compared with open surgery, it has the similar efficacy but less complications. Endoscopic mucosal resection and endoscopic submucosal dissection has become the endoscopic main way of early gastric cancer and precancerous lesions. For advanced gastric cancer, totally laparoscopic gastric cancer radical may be the development direction of gastric cancer surgery in the future. We optimized the lymph node cleaning operation process, at the same time, we created a totally laparoscopic “beta” form Billroth Ⅱ anastomosis, which was safe and simple, shorten operation time and had less complications. In colorectal surgery, minimally invasive technology is conducive to the protection of pelvic blood vessels and plant nerve plexus, and lymphadenectomy is more thoroughly. It can realize anal sphincter preserving operation for ultra-low rectal carcinoma. In addition, with the development of all kinds of equipments related to laparoscopic surgery, we can have more precise operation, more accurate resection, less bleeding and greater se-curity. The innovation of the concept and equipment of minimally invasive surgical techniques may lead to a new revolution.
展开▼
