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一场漫长的微创手术之旅。

A long journey with minimally invasive surgery.

作者信息

Kim Youngjin, Jeong Seung-Yong

机构信息

Department of Surgery, Seoul National University Hospital, Seoul, Korea.

Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

出版信息

J Minim Invasive Surg. 2025 Sep 15;28(3):117-121. doi: 10.7602/jmis.2025.28.3.117.

DOI:10.7602/jmis.2025.28.3.117
PMID:40947928
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12439045/
Abstract

Minimally invasive surgery (MIS) has transformed surgical oncology practice over the past four decades. This narrative reflects on Korea's pioneering role in MIS, particularly in colorectal surgery, chronicling its evolution from early laparoscopic cholecystectomy to advanced robotic procedures. Through personal experience, institutional milestones, and landmark clinical trials-including the COREAN trial-this Presidential Lecture at KSERS 2025 reviews the challenges, milestones, and future direction of MIS. It underscores the need for evidence-based surgical innovation and sustained commitment to clinical trials.

摘要

在过去的四十年里，微创手术（MIS）改变了外科肿瘤学的实践。本文回顾了韩国在微创手术，尤其是结直肠手术方面的先驱作用，记录了其从早期腹腔镜胆囊切除术到先进机器人手术的发展历程。通过个人经历、机构里程碑以及包括COREAN试验在内的标志性临床试验，在KSERS 2025的本次主席演讲回顾了微创手术的挑战、里程碑以及未来方向。它强调了基于证据的外科创新和对临床试验持续投入的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fac3/12439045/cecfea6ed571/jmis-28-3-117-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fac3/12439045/31b6a7be9503/jmis-28-3-117-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fac3/12439045/cecfea6ed571/jmis-28-3-117-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fac3/12439045/31b6a7be9503/jmis-28-3-117-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fac3/12439045/cecfea6ed571/jmis-28-3-117-f2.jpg

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本文引用的文献

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A 3 mm Port Reduces Postoperative Pain After Laparoscopic Colon Cancer Surgery: A Case-control Matched Study.3mm 端口可减少腹腔镜结肠癌手术后的术后疼痛：一项病例对照匹配研究。
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新辅助放化疗后中低位直肠癌的开腹与腹腔镜手术比较（COREAN 试验）：一项开放标签、非劣效性、随机对照试验的 10 年随访。
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Comparative study of NOTES rectosigmoidectomy in a swine model: E-NOTES vs. P-NOTES.NOTES 经肛门直肠切除术的猪模型对比研究：经自然腔道内镜手术（E-NOTES）与经阴道内镜手术（P-NOTES）。
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