Stellato T A
Department of Surgery, Case Western Reserve University, Cleveland, Ohio, USA.
Surg Clin North Am. 1996 Jun;76(3):595-602. doi: 10.1016/s0039-6109(05)70465-5.
The combination of flexible endoscopy and laparoscopy has allowed a creative approach to management of both benign and malignant gastrointestinal diseases. Historically, attempts to incorporate intraluminal endoscopy with laparoscopy were made early in the historical development of laparoscopy, especially as an aid to stage gastric cancer. The most common modern application is that of flexible choledochoscopy by laparoscopic cholecystectomy. Other innovative uses include localization of tumors, control of upper gastrointestinal bleeding, gastric tumor excision and biliary decompression, and bowel resection. With imagination guided by sound surgical principles, the combined use of laparoscopy and intraluminal endoscopy should expand the boundaries of general surgery.
柔性内镜检查与腹腔镜检查的结合为良性和恶性胃肠道疾病的治疗提供了一种创新方法。从历史上看，在腹腔镜检查的早期发展阶段就有人尝试将腔内内镜检查与腹腔镜检查相结合，尤其是作为胃癌分期的辅助手段。现代最常见的应用是在腹腔镜胆囊切除术中进行柔性胆管镜检查。其他创新用途包括肿瘤定位、控制上消化道出血、胃肿瘤切除和胆道减压以及肠切除。在合理的外科原则指导下发挥想象力，腹腔镜检查与腔内内镜检查的联合应用应能拓展普通外科的边界。
