腹腔镜和达芬奇机器人系统在胃肠外科中的应用

The application of laparoscopy and Da Vinci robotics surgical system in gastrointestinal surgery

1990年,腹腔镜技术首次应用于胃肠外科;2002年,达芬奇机器人手术系统开始在胃肠外科领域崭露头角。纵观微创技术发展的20多年历程,外科医师已从盲目追求技术改革逐渐发展至规范应用和客观评价,并不断向技术更新、标准完善和疗效肯定的高标准迈进。此外,外科医师在看到腹腔镜和达芬奇机器人手术系统创伤小、术中出血少、术后恢复快等优势的同时,也在不断思考它们在应用和推广方面难以避免的劣势。3D腹腔镜的问世为微创外科带来了新的革命,其不仅同时具有腹腔镜和机器人手术系统的技术特点,而且在推广和学习曲线方面也占据明显优势。因此,我们相信3D腹腔镜技术的应用前景将更为广阔。

Laparoscopy was ifrst applied in 1990 and Da Vinci robotics surgical system emerged in 2002 in the ifeld of gastrointestinal surgery. Taking a wide view of the development of minimally invasive techniques in more than 20 years, surgeons have been grown up from the blindest pursuit of technological reform to standard application and objective evaluation, and constantly advanced to the update of technology, the consummate standards and the improvement of the efifcacy. Although laparoscopy and Da Vinci robotics surgical system possess the advantages of minimal invasiveness, less bleeding and rapid recovery, it is dififcult to be applied and spread. However, the three-dimensional laparoscopy has brought a brand new revolution. It has not only the technical characteristics of laparoscopy and robotic surgical system, but also obvious advantage in popularity and learning. Thus, we believe that the prospect of three-dimensional laparoscopy will be broader.