Brau S A
Department of Surgery, Centinela Hospital Medical Center, Inglewood, CA 90307.
Surg Laparosc Endosc. 1994 Jun;4(3):222-4.
After proper training and observation, I started performing laparoscopic cholecystectomy at the community hospital in August 1990. Since then, and after further advanced training, I have performed 172 procedures, including appendectomy, hernia repair, lysis of adhesions, retroperitoneal biopsy, paraesophageal hernia repair, exploration of the common bile duct, repositioning of CAPD catheters, and colon resection with excellent results. This experience confirms that video endoscopic surgery can become the approach of choice in the community for many of what today are still considered open procedures, without undue risk, as long as adequate training is obtained and proper preparation observed when more advanced procedures are attempted.
经过适当的培训和观察，1990年8月我开始在社区医院开展腹腔镜胆囊切除术。从那时起，经过进一步的高级培训，我已经实施了172例手术，包括阑尾切除术、疝气修补术、粘连松解术、腹膜后活检、食管旁疝修补术、胆总管探查术、持续性非卧床腹膜透析导管重置术以及结肠切除术，效果良好。这段经历证实，只要获得足够的培训并在尝试更高级手术时遵循适当的准备措施，视频内镜手术在社区中可以成为许多当今仍被视为开放手术的首选方法，且风险不大。
