Degiannis Elias, Bowley Douglas M G, Smith Martin D
Department of Surgery, University of the Witwatersrand Medical School, Johannesburg, South Africa.
Injury. 2004 May;35(5):474-8. doi: 10.1016/j.injury.2003.07.002.
Minimally invasive surgery has achieved pre-eminence for certain operations in general surgery over the last two decades, as the reduction in surgical insult has produced faster recovery with enhanced patient satisfaction and favourable health economics. Minimally invasive techniques have been less enthusiastically adopted by the trauma surgical community, despite some evidence of efficacy for nearly 40 years.
The literature on minimally invasive techniques in trauma was reviewed.
To date, minimally invasive surgery has played only a small role in trauma surgery. As clearer indications emerge and technology improves, surgeons should be encouraged to incorporate laparoscopy and video-assisted thoracoscopy (VATS) into their protocols and gain familiarity and expertise with their use.
在过去二十年中，微创手术在普通外科的某些手术中占据了主导地位，因为手术创伤的减少带来了更快的康复，提高了患者满意度，并具有良好的健康经济学效益。尽管有近40年的疗效证据，但创伤外科界对微创技术的采用热情较低。
回顾了有关创伤微创技术的文献。
迄今为止，微创手术在创伤外科中仅发挥了很小的作用。随着更明确的适应症出现和技术改进，应鼓励外科医生将腹腔镜检查和电视辅助胸腔镜检查（VATS）纳入其治疗方案，并熟悉和掌握其使用方法。
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