Burke R P
Division of Cardiovascular Surgery, Miami Children's Hospital, Miami, FL 33155, USA.
Curr Opin Pediatr. 1998 Oct;10(5):527-31. doi: 10.1097/00008480-199810000-00014.
Minimally invasive cardiac surgery has evolved in response to the intrinsic irony facing cardiac surgeons: that we must injure our patients to treat them. In recent years, advances in fiberoptic imaging technology, applied to other surgical specialties, suggested the possibility that cardiac surgery might also be performed endoscopically. The anatomic and spatial constraints of pediatric cardiac surgery, and its dependence on extreme levels of speed, precision, and three-dimensional perception, made the application of remote, two-dimensional operating systems seem impossible, or at least imprudent in this special group of patients. Despite these limitations, however, applications of video-assisted endoscopic surgical techniques have been demonstrated to allow the safe and effective performance of an expanding range of operative procedures in congenital heart surgery. The guided development of new technology will accelerate this process in the coming years.
即我们必须伤害患者才能治疗他们。近年来，应用于其他外科专业的光纤成像技术取得的进展表明，心脏手术也有可能通过内镜进行。小儿心脏手术的解剖和空间限制，以及对极高速度、精度和三维感知的依赖，使得远程二维操作系统的应用似乎不可能，或者至少在这一特殊患者群体中是不明智的。然而，尽管有这些限制，视频辅助内镜手术技术的应用已被证明能够在先天性心脏病手术中安全有效地开展越来越多的手术操作。未来几年，新技术的引导式发展将加速这一进程。
