Yun Sung Su
Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea.
J Minim Invasive Surg. 2021 Jun 15;24(2):59-63. doi: 10.7602/jmis.2021.24.2.59.
There has been a dramatic change in surgical care over the past 30 years with the introduction of laparoscopic surgery. It was my great fortune that I could experience laparoscopic surgery during my resident training period. After beginning to work for my hospital in 1995, I tried laparoscopic surgery in many surgical fields, including hepatobiliary and pancreatic (HBP), colon, stomach, and vascular surgery (endoscopic saphenous vein harvesting, endoscopic subfascial perforating vein interruption to treat skin complications in patients with deep vein insufficiency in the lower leg). In Sabiston, Textbook of Surgery, published in 1997, laparoscopic Whipple and major liver resection were not accepted at the time but now are. There are three possible reasons that may explain this shift. The first one is the 30 years of experience using advanced techniques; all of us know that "Seeing is believing," and "A thousand hearings are not worth one seeing." Next is the availability of three-dimensional imaging with magnification which enables us to perform difficult surgeries. The last one is the use of good instruments and an advanced surgical platform. In this paper, I would like to share my past and recent trials with advanced HBP laparoscopic surgery, as well as its current status in Korea and future directions.
在过去30年里，随着腹腔镜手术的引入，外科治疗发生了巨大变化。我很幸运，在住院医师培训期间就能体验腹腔镜手术。1995年开始在我院工作后，我在许多外科领域尝试了腹腔镜手术，包括肝胆胰（HBP）、结肠、胃和血管外科（内镜下大隐静脉采集、内镜下筋膜下交通静脉离断术治疗下肢深静脉功能不全患者的皮肤并发症）。在1997年出版的《萨比斯顿外科学教科书》中，当时腹腔镜惠普尔手术和肝脏大切除术并不被认可，但现在已被接受。有三个可能的原因可以解释这种转变。第一个原因是30年使用先进技术的经验；我们都知道“眼见为实”，“百闻不如一见 ”。其次是具有放大功能的三维成像技术的出现，这使我们能够进行难度较大的手术。最后一个原因是使用了精良的器械和先进的手术平台。在本文中，我想分享我过去和最近在HBP腹腔镜手术方面的尝试，以及它在韩国的现状和未来发展方向。
