Gergely M
Altalános Sebészeti Osztály, Magyar Imre Kórház, Ajka.
Orv Hetil. 1993 Feb 28;134(9):451-5.
After an overview of the last one and a half century of the golden age of classic surgery the author discusses the problem of specialization in general surgery. Due to the basic change of the nature of some diseases and to the development of medical and endoscopic treatment some of the routine surgical procedures have nearly disappeared: for example the partial gastrectomy in ulcer disease, the proximal gastric vagotomy itself, the transduodenal sphincterotomy, etc. This fact raises the question of education and post-graduation of young surgeons. Now the unlimited use of laparoscopic methods in abdominal surgery opens up new vistas. The recent state of art and the future is discussed, emphasizing the need of high ethical standard on the field of this entirely new surgery.
在回顾了经典外科手术黄金时代的最后一个半世纪之后，作者讨论了普通外科的专业化问题。由于某些疾病性质的根本变化以及医学和内镜治疗的发展，一些常规外科手术几乎消失了：例如溃疡病的部分胃切除术、近端胃迷走神经切断术本身、经十二指肠括约肌切开术等。这一事实引发了年轻外科医生的教育和毕业后培训问题。如今，腹腔镜方法在腹部手术中的广泛应用开辟了新的前景。文中讨论了该领域的最新技术水平和未来发展，强调了在这一全新手术领域保持高道德标准的必要性。
