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[保守性手术——手术方式与策略的选择:侵入性手术与微创手术]

[Conservative surgery--choice of procedure and strategy: invasive versus minimally invasive surgery].

作者信息

Troidl H, Eypasch E, Spangenberger W, Langen R, Holthausen U

机构信息

Chirurgische Klinik Köln-Merheim, Universität zu Köln, Bundesrepublik Deutschland.

出版信息

Langenbecks Arch Chir Suppl Kongressbd. 1991:48-56.

PMID:1838947
Abstract

From the patient's view conservative surgery means less stress and strain through therapeutic interventions. Important criteria for assessment are freedom of pain, preservation of health or quick recovery from bodily impairments as well as reestablishment of integrity and fitness. The surgeon meets the patient's expectations through a careful interview, an operation with a minimally traumatizing access, a rather reliable technique and a careful follow-up. Endoscopic surgery most likely complies with this conception. This is shown in a prospective observational study on laparoscopic cholecystectomies in 500 patients and can also be expected for future indications.

摘要

从患者的角度来看,保守手术意味着通过治疗干预减少压力和负担。评估的重要标准包括疼痛缓解、健康状况的保持或身体损伤的快速恢复,以及身体完整性和健康状态的重建。外科医生通过仔细的问诊、微创入路手术、可靠的技术和精心的随访来满足患者的期望。内镜手术很可能符合这一理念。这在一项对500例患者进行的腹腔镜胆囊切除术的前瞻性观察研究中得到了证实,并且在未来的适应症中也有望如此。

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