腹腔镜 外科 发展简史 临床版 半英文 .ppt

;; Till the year 2012, the development of laparoscopic surgery will have gone through a total of 112 years. Laparoscopic surgery has made a great progress during the last more than 20 years. In retrospecting its history, the development of laparoscopic surgery underwent three main eras, diagnostic laparoscopy, operative laparoscopy and the modern laparoscopy era. Although the laparoscopic technology started rather late in China, it develops very quickly. ;three main eras ;腹腔镜外科的起源 (1901年);一、诊断腹腔镜时代(1901-1933年);二、手术腹腔镜时代(1933-1987年);三、现代腹腔镜(1987年至现在);我国腹腔镜技术（1991-今）;腹腔镜外科发展史上的里程碑;腹腔镜外科的未来发展;;Abstract:;Key Words:;With the inception of minimally invasive surgery and after the success of laparoscopy for gallbladder disease and acute appendicitis, the first reports on the use of laparoscopy for colon resections appeared in the early 1990s.1 Although the acceptance and utilization of laparoscopy in most surgical fields has dramatically increased since then, minimally invasive techniques are only used in a minority of colon resections. In 2006, only 32.6% of all colorectal resections in the United States, and 10.4% in the United Kingdom, were performed laparoscopically.2,3;Reasons for the slower uptake of minimally invasive qtechniques in colorectal surgery (CRS) include initial concerns about port-site recurrences in oncologic procedures,steep learning curves, and longer operating times.However, with the maturation of data from several well-designed prospective studies, laparoscopic colon surgery (LCS) has gained wide acceptance. The advantages of laparoscopic surgery have translated into smaller incisions and shorter recovery. The aim of this review is to examine the data supporting the use of laparoscopic surgery for benign and malignant conditions and to elucidate the appropriate selection of patients for laparoscopy. ;MALIGNANT COLORECTAL DISEASE 恶性;Colon Cancer;19;Short-term Outcomes;21;Oncologic Outcomes;no different between the open and laparoscopically as