腔镜技术课件.ppt

Minimally invasive surgery微创外科 21世纪外科发展方向 移植外科 微创外科 修复外科 肿瘤的分子生物学治疗 腹腔镜外科新进展 1901s Keilling 腹腔镜外科新进展 1910 Jacobeus used Nitze endoscope for diagnostic laparoscopy 腹腔镜外科新进展 1930 Kalk dual puncture liver biopsy Laparoscopic cholecystectomy Emblematic operation First landmarks of the laparoscopic revolution Precursor : E Mühe 1985 Pioneers : Ph. Mouret 1987 F. Dubois - J. Perissat 1988 B. Mc Herman 1988 E.J. Reddick 1988 腹腔镜外科新进展 1987 Mouret 世界首例腹腔镜 胆囊切除术 已经成为金标准的腹腔镜手术 腹腔镜NISSEN手术 目前已经渐趋成熟 即将成为金标准手术 腹腔镜结直肠手术 直肠前切除术 左半结肠切除术 右半结肠切除术 横结肠切除术 全结肠切除术 乙结肠切除术 mile’s术 结肠固定术 腹腔镜结直肠手术 腹部切口 腔镜甲状腺切除术 正在探索的手术 胃切除术 Global perspective of future development in Endolaparoscopic Surgery Surgery in its historical perspective Open Surgery : A long lasting journey: from 400 to 1990 The Odyssey of the Surgeon’s hands Inside human body Homeric poem 20th CenturyTwo World Wars Birth and improvement of Vascular surgery Thoracic surgery Neurosurgery Plastic surgery Resuscitation (Intensive care units) Global perspective of future development in Endolaparoscopic Surgery Surgery in its historical perspective The Dilemma : How to make harmless the access of the surgeon’s hands inside the patient’s body Global perspective of future development in Endolaparoscopic Surgery Surgery in its historical perspective The spectacular Achievement : From 1950 to nowadays End of the Dilemma : Harmless access of the surgeon’s hands inside every corners of the patient’s body The price to pay the drawbacks of large openings Global perspective of future development in Endolaparoscopic Surgery Surgery in i