外科微创化:21世纪外科的趋向

LESS TRAUMA AND BETTER RESULT:THE CHANGING TREND OF SURGICAL PRACTICE IN TWENTYONE CENTURY

由中国工程院主办的 2 0 0 1年工程科技论坛“微创外科新概念”学术研讨会于 2 0 0 1年 10月在北京中国科技会堂召开。参加会议的有黄志强、盛志勇、黎介寿、吴孟超、汤钊猷、王正国等中国科学院、工程院院士以及相关前沿科学领域有造诣的专家 10 0多人。与会专家对微创外科的内涵、发展方向及在外科领域中的地位和作用进行了热烈讨论 ,并就许多问题达成了共识。裘法祖院士给会议发来了贺信。此次会议是一次高层次、高水平的学术会议 ,相当于国外的”GoldenConference” ,对于我国科学与工程技术的发展具有重要意义。为了让更多的读者了解微创外科研究的新进展 ,本刊从与会专家的发言中遴选了部分文稿在此刊出 ,以飨读者。

Surgery is a kind of medical practice to cure patients by operative interventions.The history of surgery was as long as the history of human civilization.To treat diseases with conventional surgical methods,patients often suffered from great pain both physically and mentally,besides the everlasting unsightly scar.Since the introduction of laparoscopic surgery in 1987, enthusiasm for minimally invasive surgery has been surging with great rapidity.There were discussions about the true connotation of minimally invasive surgery over the country.Trauma, both from accidental injuries or inflicted by surgical operations,if reaches to a certain magnitude,is a kind of noxious stumulus,which disrupts the homeostasis of the organism.This stress condition sets up a net work of adaptation reaction in the body, which if over expressed or underresponded,would do harm to the organism.Therefore,in considering the effect of minimally invasive surgery,not only the length of the surgical incision made,but also the systemic response of the body,should be our concern.Response to trauma is a heritage of our ancestor.With the rapid development of science and technology today, it might be possible for us to modify it so that its deleterious effects are minimized.Therefore, minimally invasive surgery,and to minimize the traumatic effect of conventional surgery,both locally and systemically,will be the main trend of surgical modalities in the 21st century.