Kestens P J, Collard J M, Detry R, de Ville de Goyet J, Gigot J F, Kartheuser A, Van Vyve E
Service de Chirurgie de l'appareil digestif, Cliniques universitaires St-Luc, Université catholique de Louvain-en-Woluwe.
Bull Mem Acad R Med Belg. 1992;147(6-7):286-95; discussion 295-7.
Since the first laparoscopic cholecystectomy performed in 1987 by Philippe Mouret in Lyon (France), there has been a real revolution in the field of visceral surgery: more and more operations are performed by this mini-invasive surgical method: lithiasis of the common bile duct, Nissen and Heller procedure, truncal vagotomies, abdominal and thoracic, supra-selective vagotomies, hernia, appendectomy, band sections during intestinal occlusion, resection of the colon and rectum, oesophagectomies ... In Belgium, more than 3,000 cholecystectomies have been listed in a national registry in which the modalities and complications of this laparoscopic approach have been scrutinized. During the years to come, there will be an important technological development which will make this procedure easier, safer and quicker. Consequences of this new approach cannot completely be foreseen but there are some drawbacks: possible simplification of well established surgical techniques in order to facilitate the laparoscopic approach, causing a deterioration of the long term results, teaching and training difficulties for young and older surgeons, very costly equipment.
自1987年菲利普·穆雷在法国里昂完成首例腹腔镜胆囊切除术以来，内脏外科领域发生了一场真正的革命：越来越多的手术通过这种微创手术方法进行，包括胆总管结石、尼森和赫勒手术、迷走神经干切断术（腹部和胸部、超选择性迷走神经切断术）、疝气修补、阑尾切除术、肠梗阻时的肠粘连松解、结肠和直肠切除术、食管切除术等等。在比利时，国家登记处已登记了3000多例胆囊切除术，其中对这种腹腔镜手术方法的方式和并发症进行了详细审查。在未来几年，将会有重要的技术发展，这将使该手术更容易、更安全、更快捷。这种新方法的后果尚无法完全预见，但存在一些缺点：为便于腹腔镜手术可能会简化成熟的外科技术，导致长期效果恶化；给年轻和年长的外科医生带来教学和培训困难；设备成本非常高。
