细节决定成败:神经外科的信条之一

A Detail Determines the Success: A Credendum for Neurosurgery

成功的手术应该是由于正确的理由对正确的患者和疾病在正确的时间进行的正确的一系列围手术期处理和外科操作过程,每一个细节决定了手术的成败,患者的安全取决于许多方面:患者疾病的性质,医生的素质和技术,以及生活和工作的环境。因此其是一个系统工程。所以,完整的神经外科治疗过程是应包括术手术适应证和手术时机选择、术前计划、手术实施、围手术期的处理和后期康复等一整套的侦查、判断、决策的过程。

A successful operation is determined by surgeon＇s factors, patient＇s factors and disease factors. Success counts on every single factor. Patients＇ safety is our top priority, which depends on the given disease, skill of surgoens, and the operative environments. Therefore it involved a complex calculation of indication, investigation, pre-operative evaluation, treatment strategy, surgical plan, operation performance, complications and peri-operative management