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Michael Brunt: 腹腔镜手术治疗急性胆囊炎的优势

Published at: 2015年第1卷第S1期

张燕
关键词:

编者按:2016年11月9日至12日,第十五届内镜外科大会暨2016亚洲腹腔镜与内镜外科医师会议及中华医学会第十五届全国腹腔镜与内镜外科会议于中国苏州顺利召开。来自世界各地的专家共襄盛举,就腹腔镜外科的现状与未来,以及微创外科新技术的发展等问题进行深入探讨。会中,AME编辑有幸邀请到美国华盛顿大学圣路易斯医学院的Michael Brunt教授接受我们的采访。

 

图1:Prof. Michael Brunt与编辑合影

 

访谈中,Prof. Brunt指出腹腔镜手术治疗急性胆囊炎的优势显著。对比传统的开放手术,腹腔镜手术具有创伤小、对机体内环境影响少、解剖清晰的特点。可以在移除患病的胆囊的同时,最大限度减轻患者的疼痛。术后病人恢复快,出现并发症的几率也比较低。

此外,Prof. Brunt也表示不是所有的急性胆囊炎患者都可以接受腹腔镜胆囊全切除手术。有些病情严重的患者,他们的胆囊会出现严重的炎症和纤维化,不能耐受胆囊切除手术,这时可以选择腹腔镜胆囊次全切术(laparoscopic subtotal cholecystectomy)。大量的研究及文献也表明LSC应用于复杂的胆囊炎患者是可行和相对安全的。

 

采访问题:

  1. You are the moderator and also the speaker in the “Biliary Injury” section yesterday. These are different experience, so what’s the biggest difference?

  2. In your speech, you mentioned the subtotal cholecystectomy. So in which conditions, doctors need to choose this surgery?

  3. Why do you think laparoscopic surgery is the best treatment for acute cholecystitis?

  4. Also, we learnt that one of your research areas is surgical education, so what do you think should be the focus in surgical education and why?

  5. Have you ever considered that “If you are not a doctor, what will you do in your life time”?

专家介绍:

Michael Brunt, M.D. is Professor of Surgery and Section Chief of Minimally Invasive Surgery at the Washington University School of Medicine in St. Louis, Missouri where he also directs the Washington University Institute for Minimally Invasive Surgery. He received his MD degree from the Johns Hopkins University School of Medicine and trained in General Surgery at Washington University/Barnes Hospital in St. Louis.

His clinical and research interests are in outcomes studies in laparoscopic surgery, sports hernias, and surgical education. He is a past president of SAGES and is on the editorial boards of Surgical Endoscopy and Annals of Surgery. He has over 200 publications and is a recipient of the Distinguished Clinician Award from Washington University and the Philip J. Wolfson Outstanding Teacher Award from the Association for Surgical Education. For several years he has been listed in the Best Doctors in America and in the Guide to America’s Top Surgeons. He is an honorary member of ELSA and KSELS.

 

采访编辑:张    燕

视频剪辑:麦雪芳

doi: 

10.3978/kysj.2014.1.2303
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