Newsome Kevin, McKenny Mark, Elkbuli Adel
Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA.
Department of Surgery, University of South Florida, Tampa, FL, USA.
Ann Med Surg (Lond). 2021 May 25;66:102409. doi: 10.1016/j.amsu.2021.102409. eCollection 2021 Jun.
•The terms major and minor surgery are commonly used in scientific literature. The lack of an established distinction between the two terms has major implications on the interpretation of research, clinical practices, and outcomes.•Researchers should be cautious when using major and minor surgery to describe procedures unless accompanied by a thorough evidence-based explanation of each category.•The terminology may be useful for setting the tone of expectations when communicating with patients and their families, but physicians must weigh this utility against the complications caused by unsuitable use in scientific literature and medical education.
•“大手术”和“小手术”这两个术语在科学文献中常用。这两个术语之间缺乏明确的区分对研究的解读、临床实践及结果有重大影响。
•研究人员在使用大手术和小手术来描述手术时应谨慎，除非同时对每个类别给出基于充分证据的解释。
•在与患者及其家属沟通时，该术语可能有助于设定预期基调，但医生必须权衡这种效用与在科学文献和医学教育中不恰当使用所导致的并发症。
