Idkedek Mayar Ishaq, Al-Qtishat Bayan Fathi, Shaqqura Bisanne Hamdi, Akar Firas Emad Abu
Medical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Department of Cardiothoracic Surgery, Makassed Charitable Society Hospital, East Jerusalem, Palestinian Territories.
J Thorac Dis. 2022 May;14(5):1713-1718. doi: 10.21037/jtd-21-1139.
Thoracic surgery in Palestine ran across a significant shift in the past couple of years, moving from performing all surgeries by open thoracotomy incision to the current rate of more than two-thirds of surgeries being conducted using Uniportal video-assisted thoracic surgery (VATS). Thoracic surgeons most commonly deal with lung cancer, followed by chest trauma, inflammatory or infectious diseases, and congenital malformations of the chest. One of the most prominent strengths that Palestinian thoracic surgeons have is their extensive experience in managing trauma and hydatid cyst patients. While the limited number of thoracic surgeons, the complex referral process between governmental and private hospitals, and the late presentation of lung cancer patients are considered the specialty's weaknesses. Despite the challenges that thoracic surgeons face, they aim to overcome them by establishing lung cancer screening programs and enhancing the role of the primary healthcare system in order to achieve better outcomes in early diagnosed patients. Moreover, thoracic surgeons are relentlessly determined to take part in global research and publish their most notable contributions to share their experiences and prove that they can make a real change. Finally, the authors emphasize establishing a well-constructed thoracic surgery unit, which also includes a residency training program to ensure self-sufficiency in the future by having national graduates who will be the leading providers and researchers.
在过去几年里，巴勒斯坦的胸外科经历了重大转变，从全部通过开胸切口进行手术，转变为目前超过三分之二的手术采用单孔电视辅助胸腔镜手术（VATS）。胸外科医生最常处理的疾病是肺癌，其次是胸部创伤、炎症或感染性疾病以及胸部先天性畸形。巴勒斯坦胸外科医生最突出的优势之一是他们在治疗创伤和包虫囊肿患者方面拥有丰富经验。而胸外科医生数量有限、政府医院和私立医院之间复杂的转诊流程以及肺癌患者就诊延迟则被视为该专业的劣势。尽管胸外科医生面临诸多挑战，但他们旨在通过建立肺癌筛查项目和加强初级医疗保健系统的作用来克服这些挑战，以便在早期诊断的患者中取得更好的治疗效果。此外，胸外科医生坚定不移地决心参与全球研究并发表他们最显著的贡献，以分享经验并证明他们能够带来切实的改变。最后，作者强调建立一个结构完善的胸外科科室，其中还应包括住院医师培训项目，以确保未来能够实现自给自足，培养出本国的毕业生，他们将成为主要的医疗服务提供者和研究者。
