Bookwalter J R
Surg Clin North Am. 1980 Apr;60(2):399-405. doi: 10.1016/s0039-6109(16)42088-8.
In summary, the goal of lowering operating room costs by reducing the number of persons needed for safe performance of operations is an important stimulus to the improvement and refinement of table-fixed retractor systems. Far more important in my view, however, is the need for a convenient system that can reliably replace extra help in emergency situations when a surgical procedure must be performed under less than optimal conditions. As teachers of surgeons, we should introduce table-fixed retractor systems into training programs so that surgeons can be familiar enough with them to use them effectively when necessary. This will not be accomplished unless table-fixed retractors are simple and convenient to set up and readjust.
总之,通过减少安全进行手术所需的人员数量来降低手术室成本的目标,是改进和完善台式固定牵开器系统的一个重要推动力。然而,在我看来,更重要的是需要一个方便的系统,在手术必须在不太理想的条件下进行的紧急情况下,能够可靠地替代额外的帮助。作为外科医生的教师,我们应该将台式固定牵开器系统引入培训项目,以便外科医生能够对其足够熟悉,必要时能有效地使用它们。除非台式固定牵开器易于设置和重新调整,否则这一目标无法实现。