Junginger T
Klinik für Allgemein und Abdominalchirurgie, Klinikum der Johannes-Gutenberg-Universität, Mainz.
Chirurg. 2004 Apr;75(4):366-72. doi: 10.1007/s00104-004-0870-4.
Cooperation between different surgical disciplines arises from the employment of nonoperative procedures as a supplement to operative treatment (sequential multidisciplinary operations) and synchronized multidisciplinary or simultaneous operations. The objective is to ensure optimized treatment results. Complementary preoperative measures are the endoscopic removal of bile duct stones, interventional portal vein embolization, percutaneous abscess drainage, and so-called stenting in case of mechanical bowel obstruction. Intraoperative cooperation is advised in case of abdominal surgical diseases, especially with vascular surgery. Visceral surgeons should have a good command of vascular surgical techniques when performing corresponding operations. The aim of operative cooperation between different disciplines is to safeguard optimal treatment results. From this follows a right to and, for physicians, the duty of interdisciplinary cooperation. A prerequisite is the knowledge of the potentialities of the different disciplines as well as mutual respect for their limits. Intensive communication is an important aspect during the whole process of diagnostics, therapy, and postoperative care.
不同外科专业之间的合作源于采用非手术程序作为手术治疗的补充(序贯多学科手术)以及同步多学科或同时进行的手术。目的是确保优化治疗效果。术前补充措施包括内镜下胆管结石取出术、介入性门静脉栓塞术、经皮脓肿引流术以及在机械性肠梗阻时进行所谓的支架置入术。对于腹部外科疾病,尤其是与血管外科相关的疾病,建议术中进行合作。在进行相应手术时,内脏外科医生应熟练掌握血管外科技术。不同专业之间手术合作的目的是保障最佳治疗效果。由此而来的是跨学科合作的权利,对医生而言也是责任。一个前提条件是了解不同专业的潜力以及相互尊重其局限性。在诊断、治疗和术后护理的全过程中,密切沟通是一个重要方面。