Périssat J
Chirurgie Laparoscopique, D.E.T.E.R.C.A., Université Victor Segalen Bordeaux 2, Bat. 3B, Rue Léo Saignat, Bordeaux F33076, France.
World J Surg. 1999 Aug;23(8):863-8. doi: 10.1007/s002689900590.
For a surgeon who performed some of the first laparoscopic cholecystectomies, laparoscopic surgery is undoubtedly the main revolution in the last decade of this century. It is impossible not to be fascinated by the extraordinary changes introduced in our profession in less than 10 years. However, looking back in history, one realizes that laparoscopy is but one of those leaps forward that have always punctuated the evolution of our profession. Since the last century we have witnessed the advent of painless surgery, infectionless surgery, reconstructive surgery, microsurgery, surgery under extracorporeal circulation, organ replacement, and so on. We are in the time of scarless surgery, with no lengthy postoperative handicap. Maybe tomorrow will see surgery performed by remote-controlled robots and surgery at the molecule level. The laparoscopic revolution is particularly important because for the first time surgery no longer involves any physical contact between the surgeon's hand and the patient. Let us hope that this will not lead to total absence of a human relationship in the surgical operation. To avoid this possibility we must remain resolutely involved in the development of laparoscopic surgery; we must keep our minds open to the future advances of science and technology and integrate them in our operative procedures.
对于一位实施了首批腹腔镜胆囊切除术的外科医生而言，腹腔镜手术无疑是本世纪最后十年外科领域的主要变革。在不到10年的时间里，我们的职业发生了非凡的变化，令人难以抗拒其魅力。然而，回顾历史，人们会意识到腹腔镜手术只不过是一直贯穿于我们职业发展历程中的那些重大进步之一。自上个世纪以来，我们见证了无痛手术、无菌手术、重建手术、显微手术、体外循环下手术、器官置换等的出现。我们正处于无痕手术的时代，术后不再有长期的功能障碍。或许明天我们会看到由遥控机器人实施的手术以及分子水平的手术。腹腔镜手术的变革尤为重要，因为外科医生的手与患者首次不再有任何直接的身体接触。但愿这不会导致手术操作中完全缺失医患之间的人文关系。为避免这种可能性，我们必须坚定地投身于腹腔镜手术的发展；我们必须对未来的科技进步保持开放的心态，并将其融入我们的手术操作中。
