Villavisanis Dillan F, Zhang Dafang, Shay Paul L, Taub Peter J, Venkatramani Hari, Melamed Eitan
Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.
Department of Orthopaedics, Brigham and Women's Hospital, Boston, MA.
J Hand Surg Glob Online. 2023 Apr 4;5(3):358-362. doi: 10.1016/j.jhsg.2023.01.011. eCollection 2023 May.
Microsurgery is technically challenging, typically requiring a primary surgeon and an assistant to complete several key operative steps. These may include manipulation of fine structures, such as nerves or vessels in preparation for anastomosis; stabilization of the structures; and needle driving. Even seemingly mundane tasks of suture cutting and knot tying require fine coordination between the primary surgeon and assistant in the microsurgical environment. Although prior literature discusses the implementation of microsurgical training centers at academic institutions and residency programs, there is a paucity of work describing the role of the assistant surgeon in a microsurgery operation. In this surgical technique article, the authors discuss the role of the assisting surgeon in microsurgery, with recommendations for trainees and attendings alike.
显微外科手术在技术上具有挑战性，通常需要主刀医生和一名助手来完成几个关键的手术步骤。这些步骤可能包括操作精细结构，如为吻合做准备的神经或血管；稳定这些结构；以及缝合操作。即使是看似平常的剪线和打结任务，在显微外科手术环境中也需要主刀医生和助手之间的精细协作。尽管先前的文献讨论了在学术机构和住院医师培训项目中建立显微外科培训中心的情况，但很少有作品描述助手在显微外科手术中的作用。在这篇手术技术文章中，作者讨论了助手在显微外科手术中的作用，并为学员和主治医生提供了建议。
