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理念革新:微创外科新视角
引用本文:郑民华,马君俊. 理念革新:微创外科新视角[J]. 中华消化外科杂志, 2020, 0(5): 478-481
作者姓名:郑民华  马君俊
作者单位:上海交通大学医学院附属瑞金医院普通外科
基金项目:上海市临床重点专科建设项目(shslczdzk00102);上海促进市级临床技能与临床创新能力三年行动计划(16CR1011A)。
摘    要:腹腔镜视觉平台的发展与革新,推动了整个外科从开腹手术到微创手术的理念革新与技术变革。从最初利用烛光反射镜装置窥视人体内部的内镜雏形,到高清、超高清腹腔镜视觉系统,从腹腔镜胆囊切除术,到腹腔镜下包括肿瘤根治手术在内的各类普通外科手术的普及与推广,外科手术因微创技术而发生巨大变革。进入新时代,3D、4K腹腔镜的应用,再次给微创外科带来新视角,从而推动手术朝着精准解剖和功能保护方向发展。未来,新型冠状病毒后疫情时代带来的理念革新,有可能使第5代移动通信技术加持下的虚拟现实技术和机器人手术,及在此基础上的远程医疗与远程教学成为微创外科发展的新视角。

关 键 词:微创外科  4K分辨率  第5代移动通信技术  理念革新  腹腔镜检查

Concept renovation:a new perspective of minimally invasive surgery
Zheng Minhua,Ma Junjun. Concept renovation:a new perspective of minimally invasive surgery[J]. Chinese Journal of Digestive Surgery, 2020, 0(5): 478-481
Authors:Zheng Minhua  Ma Junjun
Affiliation:(Department of General Surgery,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai Minimally Invasive Surgery Center,Shanghai 200025,China)
Abstract:The development and innovation of laparoscopic vision platform has promoted the innovation of surgical concept and technology from laparotomy to minimally invasive surgery.From the initial use of reflector device with candlelight to observe the interior of the human body cavity,to the high-definition and ultra-high-definition laparoscopic vision system,from laparoscopic cholecystectomy,to the popularization and promotion of various laparoscopic surgery for malignant tumor,surgery has undergone great changes due to minimally invasive technology.In the new era,the application of three-dimensional and 4K laparoscope brings a new perspective to minimally invasive surgery,so as to promote the development of surgery in the direction of accurate anatomy and functional protection.In the future,stimulated by concept renovation in post-epidemic era of COVID-19,virtual reality technology and robotic surgery supported by the fifth generation wireless systems,as well as tele-surgery and distance training and teaching based on it,will become a new perspective for the development of minimally invasive surgery.
Keywords:Minimally invasive surgery  4K resolution  the fifth generation wireless systems  Concept renovation  Laparoscopy
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