Manncke K, Buess G, Becker H D
Klinik für Allgemeine Chirurgie und Poliklinik, Eberhard-Karls-Universiät, Tübingen.
Zentralbl Chir. 1993;118(12):716-25.
Clinical application of laparoscopic cholecystectomy was followed by a lot of other endoscopic procedures for the surgical treatment of diseases of the upper gastrointestinal tract. In cases of disorders of esophageal motility traditional procedures can be performed endoscopically. Remarkable experiences were published concerning the cardiomyotomy, and fundoplication. Endoscopic operations could be shown to be a suitable treatment of benign and malignant tumours of the esophagus. Also the nowadays very rarely indicated vagotomy can be performed laparoscopically having good results. During the last year a few new operations could be added by using endoscopic linear staplers for resections and anastomoses such as gastostomies, jejunostomies, gastroenterostomies and even BII resections. In general surgeons are enabled to perform a great variety of procedures by the use of endoscopic techniques.
腹腔镜胆囊切除术在临床上得到应用之后，又出现了许多其他用于上消化道疾病手术治疗的内镜手术。对于食管动力障碍的病例，可以通过内镜进行传统手术。关于贲门肌切开术和胃底折叠术已经发表了显著的经验。内镜手术已被证明是治疗食管良性和恶性肿瘤的合适方法。如今很少施行的迷走神经切断术也可以通过腹腔镜进行，且效果良好。在过去的一年里，通过使用内镜直线缝合器进行切除和吻合，又增加了一些新手术，如胃造口术、空肠造口术、胃肠吻合术，甚至毕Ⅱ式切除术。总的来说，外科医生能够通过使用内镜技术进行各种各样的手术。
