Herrero-Segura Antonio, López-Tomassetti Fernández Eudaldo M, Medina-Arana Vicente
Department of Gastrointestinal Surgery, University Hospital of Canary Islands, Santa Cruz de Tenerife, Spain.
J Laparoendosc Adv Surg Tech A. 2007 Oct;17(5):679-85. doi: 10.1089/lap.2006.176.
There is a complete paucity of literature for left-handed surgeons. Some studies revealed that left-handed surgical residents have lesser operating skills and some surgeons have considered leaving surgery at some point in their career owing to laterality-related frustrations. Most important, whereas minimally invasive surgical techniques have had a profound impact on the treatment of diseased gallbladder, these procedures do not eliminate laterality related to the discomfort of left-handed surgeons. Usually, left-handed surgeons must teach themselves a procedure. They must make modifications and learn some technical tips to make a more comfortable, convenient, and safe intervention. The aim of this study was to describe some modifications made by a left-handed surgeon to perform 52 safe laparoscopic cholecystectomies with standard right-handed instruments in our hospital. These surgical steps could be used in a reproducible way to minimize the recurring difficulties of left-handed learners in a surgical residency program.
关于左利手外科医生的文献极为匮乏。一些研究表明，左利手外科住院医师的操作技能较差，一些外科医生甚至在职业生涯的某个阶段因与利手相关的挫折而考虑离开外科领域。最重要的是，尽管微创手术技术对患病胆囊的治疗产生了深远影响，但这些手术并不能消除与左利手外科医生不适相关的利手问题。通常情况下，左利手外科医生必须自学手术操作。他们必须进行改进并学习一些技术窍门，以进行更舒适、便捷和安全的手术干预。本研究的目的是描述一位左利手外科医生在我院使用标准右利手器械进行52例安全腹腔镜胆囊切除术时所做的一些改进。这些手术步骤可以以可重复的方式使用，以尽量减少左利手学习者在外科住院医师培训项目中反复遇到的困难。
