Schmitz-Rixen T, Lang W
Klinik für Gefäss- und Endovascularchirurgie, Klinikum der Johann-Wolfgang-Goethe-Universität, Theodor-Stern-Kai-7, Frankfurt am Main, Germany.
Chirurg. 2009 Dec;80(12):1126-31. doi: 10.1007/s00104-009-1776-y.
Vascular surgery is a young surgical discipline which has experienced a stormy development driven by internal motivation and external constraints. Changes in the field are primarily a result of diverse external influences which are expected to continue into the future. The most significant intrinsic change has been the development of stent graft technology. External influences include extensive demographic changes, rapid progress in endovascular techniques to treat obstructive vascular disease, improved advanced training, state and non-state controls, certification requests without considering the feasibility of professional and structural implementation and changing public expectations. Progress in vascular medicine is stimulated by advances in imaging techniques and subsequent improved endovascular procedures. Nevertheless, external influences have, at least within the 'surgical' sphere of influence, led to formidable innovative efforts on the part of associations representing vascular surgeons. These innovative efforts are concentrated in the Academy of the German Society of Vascular Surgery and Medicine and will determine trends in coming years. The future will reflect their quality.
血管外科是一门年轻的外科学科，在内部动力和外部限制的驱动下经历了蓬勃发展。该领域的变化主要是多种外部影响的结果，预计这些影响将持续到未来。最显著的内在变化是支架移植物技术的发展。外部影响包括广泛的人口结构变化、治疗阻塞性血管疾病的血管内技术的快速进步、高级培训的改善、国家和非国家控制、不考虑专业和结构实施可行性的认证要求以及不断变化的公众期望。血管医学的进展受到成像技术进步以及随后改进的血管内手术的推动。然而，至少在“外科”影响范围内，外部影响促使代表血管外科医生的协会做出了巨大的创新努力。这些创新努力集中在德国血管外科学会和医学学会的学会中，并将决定未来几年的趋势。未来将反映它们的质量。
