KKW Liu, MWY Leung

Abstract

Minimal access surgery (MAS) is a milestone development in the history of surgery. Several small puncture wounds are used to perform surgical procedures that would otherwise require a large incision. The benefits of MAS have been well documented in adults. With advances in miniaturized instruments, video technology, new surgical techniques and anaesthesia, MAS is increasingly performed in infants and neonates. Currently, it has been used in both neonatal chest and abdominal conditions. However, further clinical studies are required to document the benefit of MAS in neonates in the long term.

微創手術是外科手術史上一個重要的里程碑。對比起一個大切口，微創手術只需要幾個小穿刺口便可完成。在成人手術範疇中，微創手術的好處已廣被認同。而隨着手術器械的小型化，視像技術，手術和麻醉新技術的迅速發展，使微創手術能更多地應用於嬰兒及新生兒。目前，微創手術已被應用於新生兒胸腹手術。但畢竟，微創手術在新生兒手術範疇中的長遠貢獻仍需要更多的臨床研究以之證明。