微创理念建立:胆道外科的发展历程及启示

Establishment of Minimally Invasive Concept: Development Process and Implication of Biliary Surgery

在现代医学发展过程中不断有新理念注入,这些新理念不仅是推动医学进步的主要力量,也是医学理性认识活动的重要组成部分,只有了解这些医学理念的思想渊源、形成发展、演变的历史及其科学意义,才能阐明医学基本理念建立时所使用的科学方法,这些科学方法又会促进新的理论突破。回顾胆道外科发展历史,可分成早期开腹治疗、腹腔镜治疗和经内镜逆行胰胆管造影治疗三个发展时期,这恰是对微创理念理性认识活动的一个典型范式,通过系统梳理这一范式,分析微创理念建立对医学带来的影响与启示,为其他新医学理念的建立提供借鉴和参考。

During the development of modern medicine,new ideas are constantly being injected.These new ideas are not only the main force to promote medical progress,but also an important part of medical rational awareness activities.Only by understanding the thought origin,formation,development and evolution of these medical ideas,history and its scientific significance,it can clarify the scientific methods used in the establishment of basic medical concepts,and these scientific methods will promote new theoretical breakthroughs.The history of the development of biliary surgery can be divided into three development periods:early laparotomy,laparoscopy,and endoscopic retrograde cholangio-pancreatography therapy.This is a typical paradigm of rational cognition activities of minimally invasive concepts.By systematizing this paradigm,it analyzes the influence and implication of minimally invasive concepts,and thus provide reference for the establishment of other new medical concepts.