外科手术相关伦理学问题及遵循原则的初探

Rethinking on ethics and principle of surgery

现代外科学是医学的重要组成部分，我国的外科学近几十年来经历了翻天覆地的变化，损伤控制外科、微创外科、加速康复外科等理念与日俱新，腹腔镜手术、机器人手术、经自然腔道内镜外科手术等已不再新鲜。外科手术越做越精细、技术越来越成熟，外科医师也越来越专业化。作为医学各专科的共同语言，医学伦理学比以往更有必要被提及和强调，理解它的重要性并付诸实践，能使外科医师更好地找回外科手术的初心。本文以此为切入点，探讨外科手术的共同原则，与成长中的青年外科同道共勉。

Surgery is an important part of medicine,it has undergone huge changes in recent decades in China. The concepts of damage control surgery, minimally invasive surgery, and enhanced recovery after surgery are all new with the date, laparoscopic surgery, robotic surgery, natural orifice transluminalendoscopic surgery are not new words to all of us. Surgical operations are becoming more and more specialized, surgical technique is becoming more and more mature, and surgeons are becoming more and more specialized. Medical ethical issues, as the common language of surgeons and basic principle of surgery, should be recognized and understood more stronger than ever, which will enable surgeons to retrieve original intention of surgery. This paper takes this as starting point and explore the common principles of surgery, aims to arouse some mutual encouragement to growing youth surgeons.