微创手术（Minimally Invasive Surgery，简称MIS）是医疗发展的新趋势，微创手术因伤口较小，可让伤口不留疤，降低手术风险，减轻术后病人的创伤和疼痛，也让病人拥有更短的复原时间。
腹腔镜手术(Laparoscopic Surgery)是微创手术的一种，利用腹腔镜观察腹腔内部，进行诊断或治疗。腹腔镜手术可让病人术后迅速恢复，近年开始成为妇科病人的首选治疗方式。
作为一种无血手术，腹腔镜手术过程，只需在病人腹部开设两到四个小伤口，将腹腔镜仪器插入人体内，医生同时查看高清影像，并一边操作仪器完成手术。手术造成的伤口仅约0.5公分至1公分大小，病人疼痛感减少，且手术当天就可下床活动自理。
位于新山依斯干达公主城地区的哥伦比亚亚洲医院（Columbia Asia）在腹腔镜手术这项领域，累积丰富的临床经验。
哥伦比亚亚洲医院妇科医生拉杰士玛亨德兰接受《东方日报》访问时透露，进行腹腔镜手术的医师并非任何人可以担任，医师必须是已经进行传统开腹手术至少3到4年的时间，才能学习微创技术提升自己，也提高患者的安全。
他表示，腹腔镜手术在我国已成为趋势，微创腹腔镜手术占有许多优点，包括疤痕很小，约2、3个月后几乎看不见。
“其二是疼痛感极低，腹腔镜手术疼痛感仅有10%；其三，若病患恢复良好，最快手术当天就可出院。”
他指出，腹腔镜手术后的并发症和血栓风险低，加上使用4k、8k甚至3D技术，通过超高清影像让手术更高精准度和安全。
该院妇科医生郭业松受访时透露，适合腹腔镜进行的常见手术包括子宫外孕、子宫内膜异位、卵巢囊肿、子宫肌瘤、切除子宫和输卵管结扎手术。
“基本上腹腔镜手术适合所有人，但也有例外，比如病患病情太复杂和紧急情况难以用微创手术处理，或患者的心肺有问题，需要医生进行评估后才能决定。”
他说，进行微创手术需要将气体打入腹腔产生气压，这可能对肺部产生压力，进而影响呼吸，因此心肺功能较弱的病患可能不适合此类手术。
“腹腔镜手术并没有明确的年龄限制，即使70、80岁患者只要心肺状况评估过关，也可以进行腹腔镜手术。”
郭业松指出，由于需要使用专业器械，腹腔镜手术的费用大约是传统手术的1.7倍至2倍的费用，此手术是可以获得保险承保，惟必须根据个人的保险保单条款。医生也会向患者解释传统手术和微创手术利弊后，再让患者做出选择。
“腹腔镜手术未来预料将进入机器人手臂进行手术的时代，医生可以远程操控机器手臂精准完成手术，不过手术费也相当昂贵，目前国内仍主张使用人工微创手术。”
This article first appeared in Oriental Daily August 24, 2025.
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