Purri P
II Facoltà di Medicina e Chirurgia, VII Divisione di Chirurgia Generale, Università degli Studi di Napoli.
Minerva Chir. 1991 Mar 31;46(6):235-9.
Over the past twenty years endoscopic surgery has reached a level of use which was unthinkable when it was first introduced. The practical experience of practitioners is now able to offer a wide-ranging guarantee for the complementary and alternative resolution of even severe clinical conditions. From the start its use appeared to be particularly available in the context of biliary diseases, especially for the treatment of lithiasis and sepsis, as well as in the treatment of both benign and malignant conditions of obstructed biliary flow. Special attention has been paid to the cost/benefit ratio which is increasingly the main goal of the medical activity today. The paper illustrates the different methods which can be used with specific reference to techniques and other devices able to reduce risks and improve results. The Author's personal experience is compared with that reported in the literature in the different sectors of application. There is increasing consent regarding the results achieved to data as well as technological progress.
在过去二十年中，内镜手术的应用程度达到了其首次引入时难以想象的水平。从业者的实践经验如今能够为甚至严重临床病症的补充性和替代性解决提供广泛保障。从一开始，其应用在胆道疾病领域似乎就特别适用，尤其是用于治疗结石病和脓毒症，以及治疗胆道梗阻的良性和恶性病症。人们特别关注成本效益比，而这日益成为当今医疗活动的主要目标。本文阐述了可采用的不同方法，特别提及了能够降低风险并改善效果的技术和其他设备。作者的个人经验与文献中在不同应用领域所报道的经验进行了比较。对于所取得的结果以及技术进步，人们的共识越来越多。
