摘要
作为消化病学和消化内镜学最重要的组成部分,内镜微创切除已经真正做到了由表及里、由内而外、由腔内走向腔外,由器质性疾病到功能性疾病。本文对快速发展的20多年内镜微创切除经验进行了总结,并结合目前消化内镜领域的发展趋势,提出内镜微创理念新认识——ERBEC,即Elements(基本要素)、Reservation-resection(可保可切)、Bilateral-benefit(医患双方收益)、Expansion(指征扩大)、Collaboration(医工协同),以期使内镜微创新方法和新理念真正造福于更多患者。
As a vital component of gastroenterology and endoscopology,minimally invasive endoscopic surgery has expanded its technology from surface to depth,from inside to outside,from intraluminal to extraluminal lesions,and from organic diseases to functional diseases.This paper summarizes the experience of minimally invasive endoscopic surgery in the recent two decades,and in combination with the current development trend,puts forward understanding about the concept of minimally invasive endoscopic surgery--ERBEC,namely elements,reservation-resection,bilateral-benefit,expansion,collaboration,in order to truly benefit patients through new methods and concepts.
作者
周平红
郜娉婷
刘歆阳
胡健卫
Zhou Pinghong;Gao Pingting;Liu Xinyang;Hu Jianwei(Endoscopy Center,Zhongshan Hospital,Fudan University,Shanghai 200032,China)
出处
《中华医学杂志》
CAS
CSCD
北大核心
2022年第10期690-696,共7页
National Medical Journal of China
基金
国家自然科学基金(81902394)
上海市教委“晨光”计划(20CG07)
上海市“医苑新星”青年医学人才培养资助计划[SHWJRS(2019-047)]。
关键词
消化系统
内镜
微创
Digestive system
Endoscopy
Mini-invasion