Lindskog G E
Yale J Biol Med. 1986 Jan-Feb;59(1):41-53.
The writer of this retrospective essay witnessed his first open chest operation during the academic year 1928-29 while an intern in general surgery at Lakeside Hospital, Cleveland, Ohio. The operative procedure was probably the first of its kind to be performed at that teaching hospital, and it involved the excision of a mediastinal tumefaction through a median sternotomy. Now, more than fifty-five years and several thousand thoracic operations later, the author recounts the evolution of pulmonary resection, particularly in relation to the therapy of bronchiectasis. The technical obstacles which delayed too long the achievement of reasonably safe and anatomically complete resections of lung are discussed, and the circuitous route trod by pioneering surgeons in their struggle toward that desired goal is described. In addition, some contributions made along the way by members of the faculty at the Yale University School of Medicine to our present knowledge of bronchiectasis--its pathologic anatomy, pathophysiology, and surgical therapy--are summarized briefly.
这篇回顾性文章的作者于1928 - 1929学年在俄亥俄州克利夫兰市湖滨医院担任普通外科实习生期间，目睹了他的第一例开胸手术。该手术操作可能是那家教学医院进行的首例此类手术，手术通过正中胸骨切开术切除纵隔肿物。如今，五十多年过去了，经历了数千例胸科手术，作者讲述了肺切除术的发展历程，特别是与支气管扩张症治疗相关的历程。文中讨论了那些长期阻碍实现合理安全且解剖学上完整的肺切除术的技术障碍，并描述了先驱外科医生为实现这一理想目标所走过的曲折道路。此外，还简要总结了耶鲁大学医学院教员在这一过程中对我们目前关于支气管扩张症——其病理解剖、病理生理及外科治疗——的认识所做出的一些贡献。
