Tovar Juan A
Emeritus Professor of Pediatrics, Universidad Autonoma de Madrid, Hospital Universitario La Paz, Madrid, Spain.
Porto Biomed J. 2017 Sep-Oct;2(5):143-144. doi: 10.1016/j.pbj.2017.07.003. Epub 2017 Aug 12.
This article states that Pediatric Surgery remains probably the only remaining General Surgery because it is not about organs and systems but rather the whole Surgery from fetal life until completion of growth and maturation. Pediatric surgeons are currently involved in prenatal treatments for fetal diseases, they take in charge the surgery of congenital malformations, acquired neonatal diseases, common conditions like hernias, undescended testes and appendicitis, but also of the more complex gastrointestinal, broncho-pulmonary or genitourinary conditions, tumors, trauma and solid organ transplantation. For this, like other surgical specialists, they use open, endoscopic and minimally invasive techniques. The broad spectrum of diseases, many of them scarcely prevalent, makes training long and hard, but this challenge accounts for the greatness of this specialty. Pediatric surgeons also carry out research work in their field because they are aware that understanding of why the conditions treated by them occur is mandatory. In summary, Pediatric Surgery is a lively, exciting, difficult specialty that offers an attractive alternative to young doctors interested in surgery.
本文指出,小儿外科可能仍是仅存的普通外科领域,因为它关注的并非器官和系统,而是从胎儿期直至生长发育完成阶段的整个外科范畴。小儿外科医生目前参与胎儿疾病的产前治疗,负责先天性畸形、新生儿后天性疾病、诸如疝气、隐睾和阑尾炎等常见病症的手术,同时也处理更为复杂的胃肠、支气管肺或泌尿生殖系统疾病、肿瘤、创伤以及实体器官移植手术。为此,与其他外科专科医生一样,他们采用开放手术、内镜手术和微创技术。疾病种类繁多,其中许多发病率极低,这使得培训过程漫长而艰苦,但正是这一挑战造就了该专科的卓越地位。小儿外科医生也在其领域开展研究工作,因为他们深知,必须了解其所治疗病症的发病原因。总之,小儿外科是一个充满活力、令人兴奋但又颇具难度的专科,为有志于从事外科工作的年轻医生提供了极具吸引力的选择。