摘要
辨析了外科学与内科学、外科技术与外科手术之间的关系。尽管外科学包括外科基础理论和外科技能两大部分,但外科技术有其独特的学科属性。一台复杂的外科手术可以被视为一项由多种技术手段综合运用的工程项目。外科技术革新往往源于外科学理论发展、手术方式的临床总结和学科间的交叉融合。三大外科辅助技术诠释了“医乃仁术”的精神实质,保证了生命安全,提高了广大患者的健康福祉。革新性外科手术要有可接受的风险-受益比,获得患者的知情同意,接受伦理审查。
This article analyzes the relationships between surgery,internal medicine,and surgical technology.Surgery incorporates basic theories and surgical skills,but surgical technology has unique disciplinary attributes.A complex operation can be regarded as an engineering project employing multiple technical methods.Innovations in surgical technology often arise from developments in surgical theories,e.g.,clinical summaries of surgical methods and interdisciplinary fusion.Three major surgical assistance technologies currently reflect the spiritual essence of“medicine is humane art,”ensure the safety of life,and improve the health and well-being of patients.Innovative surgery requires an acceptable risk-benefit ratio,informed consent,and ethical review.
作者
罗文浩
韩永卿
张新庆
Luo Wenhao;Han Yongqing;Zhang Xinqing(Department Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China;School of Humanities and Social Sciences,Peking Union Medical College,Beijing 100005,China)
关键词
外科技术
手术
工程伦理
surgical technology
operation
engineering ethics
