谈精准微创外科时代的心理微创观

Psycological trauma in the era of precise minimally invasive surgery

当今,我们已身处精准微创外科时代,但与生理创伤相比,心理微创尚未受到足够重视.医疗过程中的一言一行都会对患者产生一定的心理影响与心理创伤,这种心理影响有些是积极地,有些是消极的,心理微创即是将消极心理创伤转变为积极心理影响的理念与方法.医患沟通、切口处理、心理疏导、术后镇痛等诸多问题都是心理微创需要关注的问题.心理微创观念的提出使得我们将视野放大至围手术期全程,有助于实现微创全程化与无缝化.但患者有益原则仍是心理微创观的基石,应避免以心理微创为托词,盲目、不加选择的一味追求微创技术,造成巨创.

Today, we have entered an era of precise minimally invasive surgery. Psycological trauma has not attracted enough attention compared with the physiological trauma. The medical procedure will have positive or negative psychological effects on patients. The concept of minimal psychological trauma is proposed to change the negative psychological effect to a positive psychological effect. Patient-doctor communication, incision dressing and suture, psychological counseling, postoperative analgesia and so on are all involved in the concept of minimal psychological t^auma. This concept allows us to enlarge the field of vision to the entire perioperative period, and contributes to the achievement of comprehensive and seamless minimally invasive services. The principle of benefiting patients remains the cornerstone of the concept of minimal psychological trauma and should be obeyed in clinical practice to avoid adverse effects.