Die letzten 20 Jahre sind von einem ungewöhnlich tiefgreifenden Wandel in der Chirurgie geprägt. Viele in der Chirurgie über Jahre etablierte Operationsverfahren und Krankheitsbilder muβten aufgegeben werden (z.B. Chirurgie der Hiatushernien und Vagotomieverfahren usw.)· Andere, früher eher vernachlässigte Eingrifistypen haben dagegen an Bedeutung gewonnen, sind zugleich aber technisch aufwendiger und schwieriger geworden (z.B. systematische Lymphknotendissektionen usw.). Kaum ist dieser Wandel vollzogen, stehen wir schon wieder an der Schwelle einer neuen Entwicklung, nämlich der laparoskopischen und thorakoskopischen Chirurgie. Die nächsten Jahre werden durch den Umverteilungskampf zwischen offener und endoskopischer Chirurgie geprägt sein.

Keywords:
Onkologische Chirurgie, Laparoskopische Chirurgie, Multimodale Therapieprinzipien
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© 1992 S. Karger AG, Basel
1992
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