CAJ | 학술논문

与传统的开放手术相比，腹腔镜手术具有创伤小、住院时间短及切口美观等优势，但仅少数医生能够掌握。术者手的灵活性和触觉反馈功能缺失是其主要缺点，导致术者学习曲线延长，手术普及困难，尤其以腹腔镜肾部分切除术为代表的腔镜下重建手术更是如此。腹腔镜技术通过规范腹腔镜医生培训制度、手术方式标准化、简化缝合、打结复杂性操作、术中应用止血物、CT影像和生物工程学技术（力和生物电阻抗技术）辅助术中操作等，可以有效减少术者对于人手灵活性和触觉反馈功能的依赖，降低围手术期并发症，使腹腔镜下保留肾单位的肾部分切除术得到更广泛开展。
여전통적개방수술상비，복강경수술구유창상소、주원시간단급절구미관등우세，단부소수의생능구장악。술자수적령활성화촉각반궤공능결실시기주요결점，도치술자학습곡선연장，수술보급곤난，우기이복강경신부분절제술위대표적강경하중건수술경시여차。복강경기술통과규범복강경의생배훈제도、수술방식표준화、간화봉합、타결복잡성조작、술중응용지혈물、CT영상화생물공정학기술（력화생물전조항기술）보조술중조작등，가이유효감소술자대우인수령활성화촉각반궤공능적의뢰，강저위수술기병발증，사복강경하보류신단위적신부분절제술득도경엄범개전。
Compared with open surgery, laparoscopic surgery (LS) provides distinct advantages. However, LS is limited because of the lack of flexibility and tactile feedback. These drawbacks may result in prolonged learning curve and increase in difficulty of sur-gery, particularly for reconstructive LS. This study aimed to determine more efficient methods and resolve several limitations, such as surgical education, LS, surgical procedures (suturing and knotting), iconography, and biotechnology in LS. This review provides a broad overview of studies related to this field.