腔镜技术-上海第二医科大学附属瑞金医院课件

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1、Minimallyinvasivesurgery微创外科郑民华上海交通大学医学院附属瑞金医院外科上海市微创外科临床医学中心21世纪外科发展方向移植外科微创外科修复外科肿瘤的分子生物学治疗J.PERISSATOperatingroom1896ProfessorTerrierParis1901sKeilling腹腔镜外科新进展1910JacobeususedNitzeendoscopefordiagnosticlaparoscopy腹腔镜外科新进展1930Kalkdualpunctureliverbiopsy腹腔镜外科新进展J.PERIS

2、SATProfessorofGynaecologyKiehlPr.KurtSemmLaparoscopiccholecystectomyEmblematicoperationFirstlandmarksofthelaparoscopicrevolutionPrecursor:EMühe1985Pioneers:Ph.Mouret1987F.Dubois-J.Perissat1988B.McHerman1988E.J.Reddick1988腹腔镜外科新进展1987Mouret世界首例腹腔镜胆囊切除术J.PERISSATJ.PERISSA

3、T已经成为金标准的腹腔镜手术腹腔镜外科新进展胆囊切除术脾切除术疝修补术抗食管反流手术肾上腺切除术LaparoscopiccholecystectomyLaparoscopicsplenectomyLaparoscopicherniarepaireLaparoscopicfundoplicationLaparoscopicadrenectomy疝修补Herniarepair腹腔镜NISSEN手术腹腔镜NISSEN手术目前已经渐趋成熟即将成为金标准手术腹腔镜外科新进展结直肠切除术甲状腺切除术胰尾部切除术直肠前切除术左半结肠切除术右半结肠切

4、除术横结肠切除术全结肠切除术乙结肠切除术mile’s术结肠固定术腹腔镜结直肠手术腹壁切口—开腹腹壁切口—腹腔镜腹腔镜结直肠手术右半结肠切除术右半结肠切除术直肠切除范围标本的取出与切除腹部切口腹壁切口腔镜甲状腺切除术腹腔镜外科新进展腔镜甲状腺切除术正在探索的手术腹腔镜外科新进展胃癌根治术胰十二指肠头部切除术血管外科手术胃切除术腹腔镜胰十二指肠切除术GlobalperspectiveoffuturedevelopmentinEndolaparoscopicSurgerySurgeryinitshistoricalperspectiveOp

5、enSurgery:Alonglastingjourney:from400to1990TheOdysseyoftheSurgeon’shandsInsidehumanbodyHomericpoem20thCenturyTwoWorldWarsBirthandimprovementofVascularsurgeryThoracicsurgeryNeurosurgeryPlasticsurgeryResuscitation(Intensivecareunits)Globalperspectiveoffuturedevelopmentin

6、EndolaparoscopicSurgerySurgeryinitshistoricalperspectiveTheDilemma:Howtomakeharmlesstheaccessofthesurgeon’shandsinsidethepatient’sbodyGlobalperspectiveoffuturedevelopmentinEndolaparoscopicSurgerySurgeryinitshistoricalperspectiveThespectacularAchievement:From1950tonowada

7、ysEndoftheDilemma:Harmlessaccessofthesurgeon’shandsinsideeverycornersofthepatient’sbodyThepricetopaythedrawbacksoflargeopeningsGlobalperspectiveoffuturedevelopmentinEndolaparoscopicSurgerySurgeryinitshistoricalperspective20thCentury1990TheTurningPointUnnecessarypresence

8、ofSurgeons'handsinsideHumanBodyJ.PERISSATLaparoscopicSurgerytheturningpointintheHistoryofSurgeryEndoscopyinits