精准外科

Precision surgery

外科学历经最初的直觉外科和经验外科已进入现代外科时代.生物医学的巨大进步、循证医学的兴起和对病患人文关怀的回归,深刻改变着传统外科的价值观、诊疗策略、思维模式、技术特征和行业形态,从而为建立一种全新的外科范式奠定了基础.我们深感转变外科范式的迫切性,在系列研究和临床实践的基础上,提出了“精准外科”这一契合当代社会需求和现代科技特征的现代外科范式.这一以寻求病灶清除、脏器保护、损伤控制这三个外科要素的精确平衡为策略、系统优化当代外科实践的全新的外科理念及技术体系,必将广泛地融入肝脏外科和其他外科领域,引领当代外科实践向多目标优化和病患最佳康复的终极目标迈进.

Surgery has passed through an intuitive and an empirical era and has now entered its modern phase.The enormous progress in biomedicine,the rise of evidence-based medicine and the consensus on the need for humanistic patient care,have laid a foundation for a new surgical paradigm.Based on a series of studies and practices,we advocated the concept of ‘ Precision Surgery’.It covers the entire operation-centered surgical practice.The strategy of precision surgery is to seek a balance of maximizing the removal of the target lesion,while maximizing the functional liver remnant and minimizing surgical invasiveness.We propose that the concept of precision surgery should be considered for wider application within liver surgery and various surgical fields,and finally realize the multi-objective optimization with certainty-based practice to ensure maximized recovery for each patient.