What is minimally invasive surgery?

The word “minimally invasive” is a word I hear more and more as a surgeon. So what is minimally invasive surgery? Can minimally invasive surgery solve everything? Literally speaking, “minimally invasive surgery” includes three aspects: 1, “minimally” refers to small damage, but this damage is relative. For example, in the past, a large incision was needed to open the abdomen to remove the gallbladder, but now only a few small laparoscopic holes are needed to solve the problem, and the damage to the skin and muscles of the abdominal wall is small. 2, “invasive”, as the name implies, surgery is invasive operation, is to have damage to the human body, some patients encountered surgery to solve the disease, in the fear of psychological, or have the illusion that no surgery can cure, put everything on minimally invasive surgery, produced a wrong understanding of minimally invasive surgery, think that is the same as the injection Some people take advantage of this psychology and advocate minimally invasive surgery, cure without surgery, and so on, to deceive patients. There are even some diseases that do not require surgery at all, and patients are made to undergo surgery. Minimally invasive surgery has strict indications, not all diseases need surgery, and not all diseases can be treated with minimally invasive surgery; 3, “surgery”, the core of minimally invasive surgery is surgery, as long as it is surgery, we must face a series of problems, such as: hospitalization, anesthesia, pre-operative examination, post-operative recovery, etc., of course, also The most important point is that surgery must have strict indications and indications. The ultimate goal is to solve the pain, and surgery is only a means to achieve it. For example, if a tumor grows and requires surgery, the primary goal should be how to cut the tumor cleanly, as for how big the incision is, one centimeter long or one centimeter short, it should be put in the second place. Of course, the ultimate goal is achieved, how to implement it better should be the doctor’s job, so good communication with the doctor is very important. Therefore, I believe that “minimally invasive surgery” in a narrow sense means surgery with little damage to human tissues, while “minimally invasive surgery” in a broad sense actually requires a comprehensive assessment of the patient by the doctor, because surgery is only a part of the treatment, how to cure the disease in the whole process of treatment The real minimally invasive surgery is to cure the disease and at the same time, not only to the tissue, but also to the patient’s psychology, family, work, social relations and even economy. Finally, I would like to warn our patients not to pursue or superstitiously believe in “minimally invasive”, but not to do the so-called minimally invasive surgery and not even cure the disease? Obviously not. You should focus on understanding the disease and communicate with your doctor, and choose the most suitable treatment plan together to achieve the best treatment effect.