外科学-总论英文课件：The Progress of Minimally Invasive Surgery

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1、The Progress of Minimally Invasive SurgeryDevelopment of Minimally Invasive SurgeryThe first laparoscopic cholecystectomy was finished by Mouret in 1987Now, LC has been the gold standard treatment of benign desease of cholecystBest homeostasisMini operative incisionLightest inflammationShorter time

2、in treatmentbettet psycological conditionWhat can minamally invasive surgery do?New Tech.NOTES(through natural orifice)Da Vinci robotic systemSingle port laparoscopycolonoscopy（polyp excision，ERCP etc.）(3D version) laparoscopic surgeryThe progress of Minimally Invasive Surgery in treatment in colore

3、ctal diseases200320032012201220132013The first LAPSimultaneous radical resection on rectal carcinoma and metastasisDa VinciColonoscopy Transanal ileus tube setting through colonoscopyTypical case Mrs Lou，62, female Main complain: abdominal bulge with no defecationMinimally Invasive treatment in diff

4、erent stages of colorectal carcinomaTransanal endoscopic microsurgery（TEM）TEM surgical instrumentsLaparoscopic-assisted radical resection of rectal carcinomaLaparoscopic-assisted radical right hemi-colectomy2013.11 Simultaneous radical resection of rectal carcinoma and liver metastasis2014.2 Simulta

5、neous radical resection on rectal carcinoma(APR) and liver metastasis2014.5 Simultaneous radical resection(AR) on rectal carcinoma and lung metastasisleft: Surgeon Cartmiddle: Patient Cartright: Video CartDa Vinci is advanced LAP4-armsEndowrist 3-DD-LapD-LapApplicable departments urinary surgery dep

6、artment cardiothoracic surgery department gynaecology department general surgery department othersBenefits for Surgeon More safely, reproducibly and effectively Enable more efficient colon mobilization Reduce intraoperative complications Other specific benefits * better visualization of anatomy stru

7、ctures * accurate lymphadenectomy for malignant cases.Influence for Patients Provide a safer treatment Quick return to bowel fuction Low blood loss Shorter length to stay in hospital More cost ?Da Vinci V.S. Lap in rectalLAPDa VinciLearning and trainingLaparoscopic simulatorElectronic simulator Minimally Invasive Surgery training center in Renji HospitalThank you