Ellison E Christopher, Carey Larry C
Department of Surgery, The Ohio State University Medical Center, 327 Means Hall, 1654 Upham Drive, Columbus, OH 43210, USA.
Surg Clin North Am. 2008 Oct;88(5):927-41, v. doi: 10.1016/j.suc.2008.05.007.
After 100 years of practice, the face of general surgery changed forever when laparoscopic cholecystectomy was introduced. The impact was felt in how new procedures were taught and learned, proficiency determined, and credentials established. In addition, the revolution of laparoscopic surgery brought to bear ethical considerations and the harsh reality of medical legal and economic ramifications of new technology introduction. Finally, minimally invasive surgery challenged dogma of traditional perioperative care, allowing streamlining of postoperative recovery.
经过100年的实践，当腹腔镜胆囊切除术被引入后，普通外科的面貌从此永远改变。这一影响体现在新手术的教学与学习方式、熟练度的判定以及资质的认定上。此外，腹腔镜手术的变革还带来了伦理考量以及新技术引入所带来的医疗法律和经济后果的严峻现实。最后，微创手术挑战了传统围手术期护理的教条，使得术后恢复得以简化。
