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After introduction of laparoscopic cholecystectomy in the general surgery practice, the variety of minimal invasive surgery has been expanded year by year. In the early era of 1990th, the laparoscopic cholecystectomy was introduced to our country, and the patient volume & numbers were increased by improving surgical skills & experiences. Nowadays,many kinds of surgery can be done by laparoscopy or thoracoscopy in according to the surgeon´s ability. The field of minimal invasive surgery can be divided into diagnostic and therapeutic purposes. In primary & secondary care hospitals, there are many kinds of surgery easily accessible by laparoscopy and thoracoscopy. Cholecystectomy, appendectomy, herniorrhaphy, primary closure of peptic ulcer perforation, pneumothorax, empyema thorax and variable diagnostic procedures can be done. By improving surgical skills, more variable disease spectrums can be controlled by minimal invasive surgery in primary and secondary care hospitals in the future.
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