Early minimally invasive surgery
Early minimally invasive surgery refers to a new technique of performing surgery inside the body through endoscopes such as laparoscopes and thoracoscopes. Minimally invasive surgery has the advantages of less trauma, less pain and faster recovery.
Minimally invasive surgery has the advantages of less trauma, less pain, and faster recovery, which is the dream of every patient who needs surgery, and minimally invasive surgery makes this dream a reality.
The emergence of minimally invasive surgery and its widespread use in the medical field is a recent development, as the first case of LC was performed by Dr. Mouret, a French surgeon, in 1987, who did not expect it to mark the birth of a new medical milestone. The concept of minimally invasive surgery is due to the advancement of the medical model as a whole, driven by a "holistic" view of treatment. Minimally invasive surgery focuses on improving and rehabilitating the patient's psychological, social, physical (pain), mental outlook, and quality of life, and maximizing the patient's consideration and alleviating the patient's pain.
Minimally invasive surgery has the superiority of small trauma, light pain and fast recovery. Take the most mature has become the "gold standard" of LC for example: LC surgical incision of about 1cm, not cut the muscle, abdominal breathing recovery early, beautiful, postoperative abdominal movement and feeling almost no effect, lung complications are far lower than transabdominal cholecystectomy. At the same time, the operation time is short, about 30-60 minutes on average, fast recovery of intestinal peristalsis, early feeding, basically no need for painkillers. The average hospitalization is 1-3 days, and some can even go home and rejoice on the same night after the operation (according to statistics, the highest age person who has performed LC is 107 years old). Early resumption of work and social activities by the patient is beneficial to the whole society and the family
Modern Minimally Invasive Surgery
With the development and progress of science and technology, the concept of "minimally invasive" has been y penetrated into various fields of surgery, and the monitoring system is not only limited to endoscopy, but also adopts an interventional approach, such as spinal surgery and orthopedic surgery. Surgery, orthopedics. There are also other ways, such as microsurgery widely used in hand surgery.
China to carry out laparoscopic surgery and the number of cases have increased significantly, the level of technology also
has improved significantly, the incidence of its complications compared with the international level and how is it in 1993, the United States of America's Dr. Deziel investigated the United States 1117 hospitals, 77,664 cases of laparoscopic cholecystectomy of the comorbidities, the result is the comorbidities rate of 1. 2%, mortality rate of 0. 23%, cholecystectomy, the cholecystectomy, and the death rate of 0. 23%. The mortality rate was 0.23%, bile duct injury rate was 0.59%, bile leakage was 0.29%, bleeding rate was 0.25%, and gastrointestinal injury rate was 0.14%. Bleeding and gastrointestinal injuries were mainly caused by periumbilical macrovascular and intestinal injuries when placing the pneumoperitoneum needle and the first trocar. In 1998, Dr. Vecchio reviewed 40 published articles on laparoscopic cholecystectomy in the United States, including 11,4005 cholecystectomies, with a total bile duct injury rate of 0. 50% and a bile leak rate of 0. 38%. Comparing these two data with our 1998 survey of 105,680 cases, our mortality rate (0.02%) is similar to that of the U.S. (0.023%), and our comorbidity rate (0.81%), bile duct injury rate (0.19%), bile leakage rate (0.14%), hemorrhage rate (0.12%), and gastrointestinal injury rate (0.04%) are lower than the abovementioned U.S. report. This can show that the level of laparoscopic cholecystectomy in China has reached the international level.
At the same time, we should also see that there are already more than 40 kinds of generalized diseases for the operation, which indicates that our laparoscopic surgeons have the ability to carry out new surgeries. However, due to the limitations of the national economic level, some costly and difficult surgery is difficult to popularize and promote for a while, so that there is a large gap between the overall level of laparoscopic surgery in China and the international level. Therefore, we must adopt some development strategies suitable for our national conditions: ① Grasp the popularization of laparoscopic cholecystectomy. ② advocate some economic surgical methods, such as manual suture method instead of instrumental anastomosis method, no pneumoperitoneum laparoscopic surgery and so on. ③ Some hospitals with the conditions to do some new surgery with international advanced methods.
Minimally invasive surgery refers to the use of laparoscopy, thoracoscopy and other modern medical devices and related equipment for surgery. The emergence of minimally invasive surgery and its wide application in the field of medicine is a matter of the last decade or so. 1987 French doctor Mouret accidentally completed the first case of LC without realizing that it marked the birth of a new medical milestone. The concept of minimally invasive surgery is due to the advancement of the medical model as a whole, driven by a "holistic" view of treatment. Minimally invasive surgery focuses on improving and rehabilitating the patient's psychological, social, physiological (pain), mental outlook, and quality of life, and maximizing patient care to alleviate the patient's pain. Minimally invasive surgery does not require incisions, only 1-3 small holes of 0.5-1 cm in the patient's body, the patient does not leave scars, no pain, and it only takes 3-5 days to complete the whole process of examination, treatment and rehabilitation. It reduces the harm to human body caused by traditional surgery and greatly reduces the inconvenience and pain caused by the disease to patients. Minimally invasive surgery has the advantages of less trauma, less pain and faster recovery.
Minimally invasive surgery PK traditional surgery
Five advantages of minimally invasive surgery
One, the incision is small: a tiny incision in the abdomen, 0.5cm to 1cm, basically leaving no scars, and there is a "keyhole" of the name of the two, the pain is light: the patient's pain is small, and the surgery is performed with intravenous anesthesia, and the patient completes the surgery under the state of sleep. The company's website is a great source of information about the company's products and services, and the company's website.
Three, fast recovery: greatly reducing the damage to the organs and interference with organ function, so that the postoperative recovery time is shortened.
Fourth, short hospitalization: generally 6-8 hours after surgery can get out of bed, 12-24 hours of anal exhaust can eat, 3-5 days discharge, a week after the basic recovery, the cost is relatively low.
Fifth, less bleeding: almost no bleeding during the operation. Minimally invasive surgery has a clearer field of vision, the blood vessels will be handled more finely, coupled with the use of ultrasonic knife and other advanced hemostatic instruments, which helps to reduce the amount of bleeding.
The five defects of traditional surgery
One, the incision is big:The traditional long incision, ≥ 10cm, the scar is in the shape of a long line, which affects the aesthetic appearance.
Second, pain: traditional surgery requires an open abdomen, the incision site is often accompanied by postoperative pain, soreness, numbness
Third, slow recovery: traditional surgery due to the incision is large, and will cause damage to the muscles near the incision, blood vessels and the corresponding nerves, may be accompanied by certain tissue infections and complications, so the patient's recovery speed is slow.
Fourth, long hospitalization time:24 hours after surgery to get out of bed, 7-15 days discharge, the cost is relatively high.
Fifth, more bleeding:Traditional surgery to separate tissues widely, bleeding is relatively large. Infection of the incision or fat liquefaction and splitting of the incision in traditional open surgery have been unavoidable problems.
Comparison between traditional surgery and minimally invasive surgery
Taking the surgery of nasopharyngeal cancer resection as an example:
Before the introduction of minimally invasive surgery in Prince of Wales Hospital, Shatin, Hong Kong in mid 1998, nasopharyngeal cancer resection was a very major surgery, and the whole procedure took more than half a day. The surgeon needed to cut a large opening in the patient's neck to expose the affected area before the tumor could be removed. The procedure required several skin grafts to cover the tissue that had been cut away.
But since the introduction of minimally invasive surgery, the tumor can be removed endoscopically by making a tiny hole in the neck and sticking a catheter and light into the affected area.
Citing renowned minimally invasive surgeon
Professor Chung Sheung-chi, former dean of the Faculty of Medicine at the Chinese University of Hong Kong and one of the heroes of the SARS outbreak, is known as the "Father of Hong Kong's Endoscopy".
1972 Graduated from Form 7, Wah Yan College, Hong Kong 1984 Joined Prince of Wales Hospital 1999-2004 Dean, Faculty of Medicine, The Chinese University of Hong Kong
2001 Received the "Creativity Award in the 2001 Distinguished Leadership Election" with Prof. Joe Shum for their collaborative research on gastric ulcers and Helicobacter pylori in the nineties 2003 Outbreak of Atypical Pneumonia in Hong Kong, the Health The Secretary for Health, Welfare and Food, Dr. Yeung Wing-keung, repeatedly stated that there was no outbreak of pneumonia in Hong Kong and "there was no evidence of the virus spreading to the community", and hoped that the media would clarify the situation. Three days after Yeung's March 14 press conference, Chung disclosed to the media that there were in fact more than 100 cases of atypical pneumonia, with more than 10 patients coming from the community, and that he was "worried that the virus has broken out in the community". 2003 Received the Sing Tao Daily's "2003 Outstanding Leadership Award" together with Prof. Andrew Shum. 2004 Traveled to Papua New Guinea to practise medicine, serving as Head of the Department of Surgery and Professor of Surgery at the Faculty of Medicine, the only acute hospital in Port Moresby 2005 In a television interview, he said, "Even if it happened a hundred times again, I would still do it (expose the outbreak of atypical pneumonia), and I would not hesitate to come out in times of crisis to sound the alarm, which is what doctors and academics are supposed to do. In the same year, his book The Kindest Cut was published. In 2008, he won the second prize of the National Award for Progress in Science and Technology, and his book The Kindest Cut was published
.