理性看待微创外科时代的开放手术--从《新英格兰医学杂志》的一篇文章谈起

A rational evaluation of open surgery in the era of minimally invasive surgery

当今,腹腔镜微创技术已经广泛应用于临床。大量证据表明,微创手术在结直肠癌的治疗中具有有创伤小、失血少、恢复快、疼痛轻的优势,而且短期和远期疗效表现出与开放手术相当的结果。在过去的几十年中,微创手术正在取代开放手术。但也应该看到,当前青年外科医师单纯追求技术的倾向十分严重,他们对传统的开放手术不再关注,热衷于最新的微创技术,做漂亮的手术。在这个微创外科全面到来的时代,必须认识到,开放手术经过100多年的历史积淀,仍在肿瘤治疗中发挥着重要作用。

Nowadays,laparoscopic resection of eolorectal cancer is widely used.Robust evidence to conclude that laparoscopic surgery and open surgery have similar outcomes in colorectal cancer.Undeniably,we have entered an era of minimally invasive surgery,and our traditional open surgery is being replaced by minimally invasive surgery in recent decades owing to favorable short-term outcomes,such as less pain,reduced blood loss,and improved recovery time. Surgeons should be soberly aware that there is a serious tendency for young surgeons in the field of surgery to simply pursue technology.They no longer pay attention to traditional open surgery,but are keen on the latest minimally invasive technology to make and show a beautiful surgery.In this era of minimally invasive surgery,Surgeons must realize that open surgery still plays an important role in tumor treatment.