History Minimally Invasive Surgery
Looking back over the past 20 years, minimally invasive surgery has expanded from simple initial cholecystectomy to many areas. These include gastrointestinal, hepatobiliary, and pancreatic surgery, weight loss metabolism, hernia, and abdominal wall surgery. And the size and complexity of surgery and gradually increased surgery. Laparoscopic Trainer.
For many reasons use of simulators is an applied choice like Laparoscopic Trainer.
Looking to the future, less invasive surgery develops in conjunction with advancing the treatment of the disease itself. And technologies such as artificial intelligence, virtual reality, next generation mobile communication transmission. And tumor – focused therapy will help further innovation in such minimally invasive surgery. Invasive surgery will essentially adhere to the GG quotation; conceptualize and achieve sustainable development.
Medical Minimal Invasion Surgery Instruments
Looking back at the development of modern surgery for over a century, the development of anatomy, the advent of anesthesiology, aseptic surgery, and the application of hemostatic and transfusion techniques have solved surgical pain, wound infection, and hemostasis, transfusion, etc. Critical issues. The production and application of these revolutionary technologies and concepts greatly reduced surgical mortality, alleviated patient suffering, and profoundly influenced the development of modern surgery.
It is now the cornerstone of classical and the cornerstone of modern surgery, and has advanced Advances in surgery. When the time came in the late 20th century, a series of invasive techniques demonstrated by laparoscopic technology have added new vitality to the innovation and development of traditional surgery. In this short period of more than 20 years, it developed rapidly, and the development of external science greatly influences. For minimally invasive surgery technique, many of them have not received practical training with simulators like Laparoscopic Trainer.
Development Of Surgery as Minimally Invasive
The development of surgery as minimally invasive as laparoscopic technology in general surgery has gone through three stages: In the first stage, as a new technology, a laparoscope is a question of whether it performs. That time, the technique was so slightly invasive. mainly resection and functional repair of diseased gentle organs based on laparoscopic cholecystectomy. Due to the initial learning curve and technical deficiencies. Complications such as bile duct damage are therefore diffuse and indeterminate effects. But it has not yet received widespread attention and understanding. Laparoscopic Trainer.
To Regulate Laparoscopic Technology
The second step is how to regulate it. Laparoscopic surgery has gradually matured into the treatment of benign diseases. Laparoscopic technology has rapidly improved. The use of small HD and HD equipment has begun. Laparoscopic technology initiates for tumor surgery demonstrated by resection of gastrointestinal malignant tumors. A set of key technologies puts in place. And applications such as laparoscopic dissection, surgical approach, lymph node dissection, radical tumor resection, functional protection, reconstruction of the digestive tract, etc.
At this stage, a more standardized promotion obtains by first setting up a laparoscopic technical training system; the third step is “what to do”. With the renewal of equipment and the maturity of surgical technology, such minimally invasive surgery has entered a new phase of expansion and popularity, and the development of minimally invasive surgery has entered a platform era.
In patients with HCC, previous liver resection may complicate subsequent liver transplantation, including by creating adhesions. Initial laparoscopic resection can reduce these problems. It shows that laparoscopic technique in previous surgery simplifies subsequent liver transplantation and is associated with reduced surgery time, blood loss and transfusion requirements compared to transplantation after previously undergoing open resection.
Laparoscopic technique also uses in live donor hepatectomy. Laparoscopic left lateral segmentectomy appears to be most appropriate, while laparoscopically assisted right-sided hemi-hepatectomy also reports. A comparative study confirmed the same safety by laparoscopic access compared with conventional open donor hepatectomy. The laparoscopic procedure was associated with significantly reduced blood loss, but also with increased operative time.
Economy Laparoscopic Technique
The total cost of laparoscopic liver resection estimates to be lower than the cost of open liver resection in western countries. This mainly explains by reduced postoperative length of stay and shorter convalescence as well as return to productive work. However, the actual cost of the surgical procedure tends to be higher for laparoscopic technique and is usually due to extensive use of expensive disposable instruments.
Robot-based laparoscopic liver resection using the Da Vinci Surgical reported at several centers. Robots can be particularly beneficial in procedures that require vascular and biliary tract reconstruction. Laparoscopic Trainer.
Intraoperative Three-Dimensional Navigation
Three-dimensional visual reconstruction of larger central anatomical structures (blood vessels and bile ducts) based on analysis of preoperative imaging can be of great importance, especially in hemi-hepatectomies. The technique enables safe manipulation in the immediate vicinity of large vessels using improved intraoperative navigation. Real-time guidance in laparoscopic liver resection assisted by open MRI reports in a pig model and may represent another alternative method.
With a view to further reducing surgical trauma, single port laparoscopic liver resection recently introduces and now reports in use in several places. The cosmetic benefits are obvious, while other expected improvements in the method remain to document. Transluminal (trans gastric) endoscopic liver resection reports experimentally, but the technique is highly controversial and its clinical potential is unclear.
Major advances make in laparoscopic liver surgery. It is now clear that in experienced hands, laparoscopic technique in liver resection is as safe as in open technique. The benefits of laparoscopic access include reduced postoperative pain, shorter hospital stays, reduced need for transfusions, faster healing, better cosmetic results, and smaller adhesions that facilitate repeated resections compared to open surgery.
The oncological results of laparoscopic surgery seem to be at least as good (or possibly better?) Then with open access. Further research needs to clarify these conditions. A randomized direct comparison of endoscopy and open examination performs.
At our institution, the indications for laparoscopic liver resection are now almost the same as for open surgery. The prevalence of the technique is increasing, which reflects in the increasing number of new publications on the topic.
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