Ruso Martinez Luis
Professor of Surgery, Chair Department of Surgery, Hospital Maciel (Asse), School of Medicine, University of Repúblic (UdeLar), Montevideo,
Dig Surg. 2019;36(2):124-128. doi: 10.1159/000487309. Epub 2018 Mar 1.
Regarding the history of liver surgery, Latin American pioneers have only occasionally been mentioned in the Anglo-Saxon literature. One of such rare cases was Uruguayan surgeon Gerardo Caprio, who in 1931 published a report about a resection of the left lobe of the liver. This was done during an uneventful period in the development of ideas on this surgical technique, following the remarkable advances made in the last quarter of the 19th Century. The anatomic and liver manipulation concepts used by Caprio had been developed by Merola in reports dating back to 1916 and 1920, which revealed well-grounded disagreements with the most renowned anatomists of the time. This paper discusses Merola and Caprio's academic profile by analyzing their publications, the knowledge base and experience that led the latter to perform such liver resection, and the surgical principles applied to it, which would only be formally adopted worldwide 20 years later.
关于肝脏手术的历史，拉丁美洲的先驱者在盎格鲁 - 撒克逊文献中只是偶尔被提及。乌拉圭外科医生杰拉尔多·卡普里奥就是其中一个罕见的例子，他在1931年发表了一篇关于肝左叶切除术的报告。这是在19世纪最后四分之一时期取得显著进展之后，肝脏手术技术发展的一个平稳阶段完成的。卡普里奥所采用的解剖学和肝脏操作概念是由梅罗拉在可追溯到1916年和1920年的报告中提出的，这些报告显示出与当时最著名的解剖学家有着充分依据的分歧。本文通过分析梅罗拉和卡普里奥的出版物、使后者进行此类肝脏切除术的知识基础和经验，以及应用于该手术的外科原则（这些原则在20年后才在全球正式被采用）来探讨他们的学术概况。
