王锡山.肿瘤外科微创技术的前进方向[J].肿瘤学杂志,2021,27(6):421-425.
肿瘤外科微创技术的前进方向
Discussion on the Direction of Minimally Invasive Technology in Tumor Surgery
投稿时间:2021-06-13  
DOI:10.11735/j.issn.1671-170X.2021.06.B001
中文关键词:  肿瘤  外科治疗  微创技术
英文关键词:tumor  surgery  minimally invasive technology
基金项目:
作者单位
王锡山 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院 
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中文摘要:
      摘 要:外科手术是治疗肿瘤最古老、也最有效的方法之一。随着科技的进步,各种设备平台和手术器械不断取得突破性的进展;随着民众对肿瘤治疗的期望从“切除肿瘤”到“保留功能”和“美观”,使得微创理念也成为目前肿瘤外科的发展方向。肿瘤外科正经历着由传统的“解剖型手术”向“功能外科型手术”的转变,肿瘤外科的治疗模式也由以疾病为中心向以患者为中心发生转变。随着能量平台、器械平台、显像平台的发展,肿瘤外科也在不断的创新,在创新过程中,遵守“肿瘤功能外科原则”和“损伤-效益比原则”,去寻求肿瘤外科微创技术的创新点和革新方向。在术式上的创新,要明确各专业术式的构成要素,在要素中寻找变量,进行务实的创新。全文结合肿瘤外科微创技术的发展,展望微创技术在肿瘤外科未来的前进方向。
英文摘要:
      Abstract:Surgery is one of the oldest and most effective methods to treat tumors. With the progress of science and technology,various equipment platforms and surgical instruments have made breakthroughs; with the public’s expectation of tumor treatment from “removing tumor” to “preserving function” and “aesthetics”,minimally invasive concept has become the current deve-lopment direction of oncology surgery. As people’s expectation of tumor treatment has changed from “removal of tumor” to “preservation of function” and “aesthetics”,minimally invasive concept has become the development direction of surgical oncology. Surgical oncology is undergoing the transformation from traditional “anatomical surgery” to “functional surgery”,and the treatment mode of surgical oncology is also changing from disease-centered to patient-centered. With the development of energy platform,instrument platform and imaging platform,oncology surgery is also constantly innovating. In the process of innovation,we should abide by the “principle of functional surgery of tumor” and “principle of damage-effect ratio”,and on this basis,we should seek the innovative point and direction of minimally invasive technology in oncology surgery. In the process of innovation,we should follow the principles of “functional surgery of tumor” and “damage to effect ratio”,and seek the innovation point and direction of innovation in minimally invasive surgical oncology. In the process of innovation,we should follow the principles of “functional surgery of tumor” and “injury-effect ratio”,and seek innovative points and directions of minimally invasive surgical techniques in oncology based on these principles. In this paper,the future direction of minimally invasive technology in surgical oncology is discussed in the light of the development of minimally invasive technology in surgical oncology.
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