合同シンポジウム「最先端医療を支える解剖学」新たな手術手技開発を目指した臨床解剖学

Mouret performed the first laparoscopic cholecystectomy in １９８７ using a charge-coupled device camera system. It was the breakthrough in less invasive endoscopic surgery. I saw the dramatic spread this new technology over the world between １９８９ and １９９１ in United States. We started to develop a new approach to no space anatomical lesions without CO２ inflation in esophageal cancer and breast cancer surgery ; mediastinoscopic esophagectomy and endoscopic axillar lymph nodes dissection from １９９３. But it was not easy to make new state of the art.
Toyo Yamawaki performed the first legally sanctioned dissection in １７５４ in Japan. Genpaku Sugita compiled the first Japanese translation of a Dutch（Germany）text on anatomy in １７７４. Surgical strategy has been changed from Halsted operation with enbloc lymph nodes dissection in １８９４ to sentinel lymph node biopsy from １９９２ in breast cancer surgery for example. We have to develop the new strategy to take over cancer for the patients. Clinical anatomy using cadaver surgical training would be essential to develop a surgical state of the art in cancer treatment.