Shinhar Daniel, Avigad Itamar, Tal Orna
Pediatric Surgery Department, Sheba Medical Center, Tel Hashomer.
Harefuah. 2009 Mar;148(3):153-6, 212, 211.
In recent years surgical procedures have developed enormously outpacing the rapid growth in medicine.
The aim of this article is to highlight the trends in surgical treatment over the past decade in comparison with reports in the scientific literature.
We reviewed the surgical trends in the Pediatric Surgical Department at the Sheba Medical Center between the years 1995-2006. The main parameters implemented in the assessment were: laparoscopic approach vs. traditional open surgery, elective vs. emergency operations and the extent of congenital abnormalities treated over the years.
This study showed a decline in the number of open surgeries performed as opposed to a statistically significant increase in laparoscopic procedures and a decrease in elective surgery performed in tertiary medical centers, while the number of congenital abnormalities treated remained constant.
The literature review revealed that similar changes in surgical management were found in other countries, confirming our study results. These trends, including clinical, professional and fiscal developments, require preparedness on a national level.
近年来，外科手术发展迅速，远超医学领域的快速增长。
本文旨在与科学文献中的报告相比，突出过去十年外科治疗的趋势。
我们回顾了1995年至2006年期间舍巴医疗中心小儿外科的手术趋势。评估中采用的主要参数包括：腹腔镜手术与传统开放手术、择期手术与急诊手术以及多年来治疗的先天性异常的程度。
本研究显示，开放手术的数量有所下降，而腹腔镜手术的数量在统计学上显著增加，三级医疗中心的择期手术数量减少，而治疗的先天性异常数量保持不变。
文献综述显示，其他国家在手术管理方面也有类似变化，证实了我们的研究结果。这些趋势，包括临床、专业和财政方面的发展，需要在国家层面做好准备。
