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腹腔镜实性器官手术的当前趋势:脾脏、肾上腺、胰腺和肝脏。

Current trends in laparoscopic solid organ surgery: spleen, adrenal, pancreas, and liver.

作者信息

Melman Lora, Matthews Brent D

机构信息

Institute for Minimally Invasive Surgery, Department of Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Box 8109, St. Louis, MO 63110, USA.

出版信息

Surg Clin North Am. 2008 Oct;88(5):1033-46, vii. doi: 10.1016/j.suc.2008.05.010.

Abstract

Laparoscopic procedures are becoming increasingly preferred by both surgeons and patients owing to decreased pain, reduced perioperative morbidity, and an earlier return to self-reliance. Laparoscopy for solid organ surgery has been slower to evolve when compared with procedures such as laparoscopic cholecystectomy owing to factors involving lower case volume and refinement of technologies specific to operations involving the spleen, adrenal, pancreas, and liver. Future integration of technology will allow surgeons to offer increasingly less morbid therapies aimed at the patient's best clinical outcome.

摘要

由于疼痛减轻、围手术期发病率降低以及能更早恢复自理能力,腹腔镜手术越来越受到外科医生和患者的青睐。与腹腔镜胆囊切除术等手术相比,实体器官手术的腹腔镜技术发展较慢,这是由于病例数量较少以及涉及脾脏、肾上腺、胰腺和肝脏手术的特定技术有待完善等因素所致。未来技术的整合将使外科医生能够提供越来越少创伤的治疗方法,以实现患者最佳的临床疗效。

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