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腔镜技术PPT
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 Century Two 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 its historical perspective 20th Century 1990 The Turning Point Unnecessary presence of Surgeons hands inside Human Body J. PERISSAT Laparoscopic Surgery the turning point in the History of Surgery Endoscopy in its historical perspective: Endoscopy ( to look inside ancient Greek) From antiquity to 1900 endoluminal exploration Since 1901 Laparoscopy (exploration) Interventional Endolaparoscopy Since 1970 J. PERISSAT Global perspective of future development in Endolaparoscopic Surgery Laparoscopic Surgery the turning point in the History of Surgery LAPAROSCOPIC SURGERY For DIGESTIVE DISEASES Logical learning progression STEP 1 : - Exploratory laparoscopy + biopsies - Appendectomy; peritonitis - (gynaecologic emergencies) - Cholecystectomy + IOC Complete mastery of Suturing- knotting STEP 2 : - Gastroesophageal reflux - Inguinal Hernia repair - Laparoscopic app
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