Hafner Jürg, Läuchli Severin, Bogdan Inja, French Lars E
Dermatologische Klinik, Universitätsspital Zürich.
Ther Umsch. 2010 Apr;67(4):195-9. doi: 10.1024/0040-5930/a000033.
Dermatologic surgery represents the surgical mainstay of the medical-surgical specialty of dermatology. The steep increase in incidence of skin cancer impressively raised the demand for competent dermatological surgery. Skin cancer is a plausible example to demonstrate that dermatology deserves a leading role in the diagnosis, differential indication and conduction of conservative, semi-invasive and surgical treatment as well as in the cooperation with the plastic reconstructive specialties. Through the last two decades, dermatological surgery has set valuable impulses in micrographic surgery of skin cancer, refinement of local anesthesia, nail surgery, wound and scar treatment, cutaneous laser surgery and sentinel node biopsy in cutaneous malignant melanoma.
皮肤外科手术是皮肤科医疗外科专业的主要手术方式。皮肤癌发病率的急剧上升显著增加了对专业皮肤外科手术的需求。皮肤癌是一个恰当的例子,说明皮肤科在皮肤癌的诊断、鉴别诊断、保守治疗、半侵入性治疗和手术治疗的实施以及与整形重建专科的合作中应发挥主导作用。在过去的二十年里,皮肤外科手术在皮肤癌的显微外科手术、局部麻醉的改进、指甲手术、伤口和瘢痕治疗、皮肤激光手术以及皮肤恶性黑色素瘤的前哨淋巴结活检等方面产生了重要影响。