Rivas Homero, Díaz-Calderón Daniela
Minimally Invasive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305, USA.
Asian J Endosc Surg. 2013 May;6(2):59-67. doi: 10.1111/ases.12028.
Modern laparoscopy, starting with Kurt Semm's insufflators and the first successful appendectomies, has only been around for approximately 30 years. Since those early successes, the technology has grown from the inception of basic laparoscopy to endoscopic surgery through natural orifices, and it continues to evolve by leaps and bounds with computer-assisted surgery and improved robotics in surgery. Without question, laparoscopy has revolutionized the way we perform standard surgery, especially relative to the techniques that had been used for hundreds of years. Despite the development of multiple novel technologies since the 1980s, very little has changed with regard to basic conceptualizations and practice of laparoscopy. In this review article, we will describe the highlights of recent advanced laparoscopic surgery procedures, their potential applications within the field of surgery, and how these advances may impact and improve future quality and patient outcomes.
现代腹腔镜手术始于库尔特·塞姆的气腹器以及首例成功的阑尾切除术，至今仅有大约30年的历史。自早期取得成功以来，这项技术已从基础腹腔镜手术起步，发展到通过自然腔道进行内镜手术，并且随着计算机辅助手术以及手术机器人技术的改进而持续飞跃式发展。毫无疑问，腹腔镜手术彻底改变了我们进行标准手术的方式，尤其是相对于那些已沿用数百年的技术而言。尽管自20世纪80年代以来出现了多种新技术，但腹腔镜手术的基本概念和操作变化甚微。在这篇综述文章中，我们将描述近期先进腹腔镜手术程序的要点、它们在外科领域的潜在应用，以及这些进展可能如何影响并改善未来的医疗质量和患者预后。
