微創手術在一般外科的新進展

Advances in Minimally Invasive Surgery in General Surgery

謝忠和(Chung-Ho Hsieh) ； 盧瑞華(Rui-Hua Lu) ； 李乃信(Nai-Xin Li)

《北市醫學雜誌》 5卷4期 (2008/08) Pp. 403-408

https://doi.org/10.6200/TCMJ.2008.5.4.01

摘要

內視鏡於1806年發明，首例腹腔鏡膽囊切除術於1987年完成，腹腔鏡手術的範圍逐日拓展，甚至包含了腹部癌症手術。機械手臂的發展改善腹腔鏡的缺點，提供6個自由度的活動、精細穩定的動作以及3D的影像。機械手臂同時也開啟了遠距手術的新領域。NOTES的發展，期望將傷口縮小到沒有。首例人體試驗經陰道內視鏡膽囊切除術已經於2007年完成。經肚臍單一傷口的腹腔鏡膽囊切除術也已被報告。微創手術在觀念、設備及技術的不斷進步下，勢將成為外科手術的主流。

關鍵字

微創手術 ； 腹腔鏡 ； 機械手臂 ； NOTES

並列摘要

The first endoscopy was developed on 1806. The first laparoscopic cholecystectomy was performed on 1987. The field of minimally invasive surgery was quickly developed since then, even including the abdominal cancer operation. Robots improve the limitations of laparoscopic surgery. They support 6 degrees of freedom, can carry out delicate task, and 3D image. The develop of robots also create new field of telesurgery. The object of NOTES is an incisionless surgery. The first human transvaginal endoscopic cholecystectomy has been done on 2007. Singleport laparoscopic cholecystectomy was also reported. Minimally invasive surgery is improving in concepts, techniques and equipments and will be the main stream of surgery in the future.

並列關鍵字

Minimally invasive surgery ； Robotic surgery ； Telesurgery ； Nature or ifice transluminal endoscopic surgery