外科学-总论英文课件：The Progress of Minimally Invasive Surgery.ppt

Electronic simulator Minimally Invasive Surgery training center in Renji Hospital Thank you The Progress of Minimally Invasive Surgery Development of Minimally Invasive Surgery The first laparoscopic cholecystectomy was finished by Mouret in 1987 Now, LC has been the gold standard treatment of benign desease of cholecyst Best homeostasis Mini operative incision Lightest inflammation Shorter time in treatment bettet psycological condition What can minamally invasive surgery do? New Tech. NOTES (through natural orifice) Da Vinci robotic system Single port laparoscopy colonoscopy（polyp excision，ERCP etc.） (3D version) laparoscopic surgery The progress of Minimally Invasive Surgery in treatment in colorectal diseases 3D LAP Simultaneous radical resection on rectal carcinoma and metastasis 2014 Da Vinci Colonoscopy Transanal ileus tube setting through colonoscopy Typical case Mrs Lou，62, female Main complain: abdominal bulge with no defecation 9 days later Pre setting Post setting Minimally Invasive treatment in different stages of colorectal carcinoma Transanal endoscopic microsurgery（TEM） TEM surgical instruments Laparoscopic-assisted radical resection of rectal carcinoma Laparoscopic-assisted radical right hemi-colectomy 2013.11 Simultaneous radical resection of rectal carcinoma and liver metastasis 2014.2 Simultaneous radical resection on rectal carcinoma(APR) and liver metastasis 2014.5 Simultaneous radical resection(AR) on rectal carcinoma and lung metastasis left: Surgeon Cart middle: Patient Cart right: Video Cart Da Vinci is advanced LAP 4-arms Endowrist 3-D D-Lap Applicable departments urinary surgery department cardiothoracic surgery department gynaecology department general surgery department others Benefits for Surgeon More safely, reproducibly and effectively Enable more efficient colon mobilization Reduce intraoperative complications Other specific benefits * better visualization of anatomy structures * accurate lymphadenectomy for