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哥伦比亚神经外科学史:塑造该国神经外科学专业的事件、人物和成果。

A history of Colombian neurosurgery: events, persons, and outcomes that have shaped the specialty in the country.

机构信息

1Department of Neurosurgery, LOSCOBOS Medical Center, Bogotá.

2Department of Neurosurgery, Universidad del Bosque, Bogotá.

出版信息

J Neurosurg. 2022 Jul 29;138(3):868-874. doi: 10.3171/2022.6.JNS22830. Print 2023 Mar 1.

Abstract

The history of Colombian neurosurgery is a collective legacy of neurosurgeon-scientists, scholars, teachers, innovators, and researchers. Anchored in the country's foundational values of self-determination and adaptability, these pioneers emerged from the Spanish colonial medical tradition and forged surgical alliances abroad. From the time of Colombian independence until the end of World War I, exchanges with the French medical tradition produced an emphasis on anatomical and systematic approaches to the emerging field of neurosurgery. The onset of American neurosurgical expertise in the 1930s led to a new period of exchange, wherein technological innovations were added to the Colombian neurosurgical repertoire. This diversity of influences culminated in the 1950s with the establishment of Colombia's first in-country neurosurgery residency program. A select group of avant-garde neurosurgeons from this period expanded the domestic opportunities for patients and practitioners alike. Today, the system counts 10 recognized neurosurgery residency programs and over 500 neurosurgeons within Colombia. Although the successes of specific individuals and innovations were considered, the primary purpose of this historical survey was to glean relevant lessons from the past that can inform present challenges, inspire new opportunities, and identify professional and societal goals for the future of neurosurgical practice and specialization.

摘要

哥伦比亚神经外科学的历史是神经外科医生-科学家、学者、教师、创新者和研究人员的集体遗产。这些先驱者根植于哥伦比亚自主和适应的基本价值观,他们源自西班牙殖民时期的医学传统,并在国外建立了外科联盟。从哥伦比亚独立时期到第一次世界大战结束,与法国医学传统的交流促使人们对新兴的神经外科学领域更加重视解剖学和系统性方法。20 世纪 30 年代美国神经外科学专业知识的出现带来了一个新的交流时期,其中技术创新被纳入哥伦比亚神经外科学的剧目。这种多元化的影响在 20 世纪 50 年代达到顶峰,当时哥伦比亚建立了第一个国内神经外科学住院医师培训计划。这一时期的一批前卫神经外科医生扩大了国内患者和从业者的机会。如今,该系统拥有 10 个公认的神经外科学住院医师培训计划和 500 多名神经外科医生。尽管考虑了特定个人和创新的成功,但本次历史调查的主要目的是从过去汲取相关经验教训,为当前的挑战提供信息,激发新的机会,并确定神经外科学实践和专业化的未来的专业和社会目标。

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