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Dr. Alessandro Brunelli: 对职业的热爱是我前进的动力

Published at: 2015年第1卷第S1期

燕 张
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编者按金秋十月,英国伦敦皇家医师学院迎来了第四届国际胸腔镜手术研讨会(The 4th International VATS Symposium)。会议为期两天,国际上具备影响力的胸外科专家们齐聚一堂,围绕胸外微创手术的使用现状,先进的手术技巧以及未来发展方向进行了探讨。跟往届会议相比,这次会议还首次增加了对机器人手术的分析和讨论,成为了本次会议最大的亮点。AME编辑小分队也借此机会,携带旗下Journal of Visualized Surgery (JOVS)等杂志前往伦敦,为大家献上精彩报道。

人物聚焦:Alessandro Brunelli

Alessandro Brunelli, MD

Dr. Alessandro Brunelli is a Consultant Thoracic Surgeon and Honorary Clinical Associate Professor at the Department of Thoracic Surgery, St. James's University Hospital, in Leeds, UK. He previously worked in Italy, at Ospedali Riuniti Ancona, where he was the vice-Director of the Division of Thoracic Surgery and Head of Section of Minimally Invasive Thoracic Surgery.

Dr. Brunelli is the current Secretary General of the European Society of Thoracic Surgeons and member of the Executive Committee. He has been the Director of the ESTS Database from 2008 to 2012 and is member of the Educational Committee and Faculty of the ESTS School of Thoracic Surgery.

He authored more than 190 articles published in peer-reviewed impact factored scientific journals with a personal impact factor greater than 600. He is a member of the Editorial Board of the Annals of Thoracic Surgery, the Chair of the European Respiratory Society/European Society of Thoracic Surgeons joint task force appointed to develop guidelines for the selection of patients for lung resection.

会上,来自St’ James’s University Hospital的Dr. Alexssandro Brunelli针对"Fast Track-enhanced recovery for MITS"这个话题发表了精彩演讲。Dr. Brunelli借由一个实验告诉我们随着快速康复外科理念的逐渐普及,目前的重点不是研究ERAS治疗模式是否优于传统围手术期处理,而是如何进一步规范和优化并执行ERAS的相关策略。会后,AME编辑小分队有幸邀请到Dr. Brunelli接受我们的采访,除了对演讲内容的总结,他还基于在微创手术方面的经验给我们做了相关分享(图1)。

图1. AME编辑与Dr. Brunelli的合照

访谈中Dr. Brunelli简单讲述了自身使用胸腔镜手术治疗肺癌患者的经历。当时他还是意大利Ospedali Riuniti Ancona中心胸外科的医生,在那里他开展了第一台胸腔镜肺叶切除手术。Dr. Brunelli表示开展的初期是非常困难的,除了要说服临床医生们采用这个技术,逐渐培养团队间密切配合的能力,还要通过不断的实践完善手术流程。最终在他们团队的共同努力下,大家渡过了艰难的时期,也积累了一定的经验。

谈及随着微创时代的到来,机器人手术的出现,未来外科医生的角色是否会被取代时,Dr. Brunelli坚定地说道"No, I hopefully not!"。他认为外科医生之所以重要不仅仅是因为具备手术技能,更重要的是他们拥有做判断,做决定的能力;他们拥有选择病患,与其他医生探讨病例,制定手术方案的能力;他们具有使命感,会把治疗病人当成是自己的首要职责。

访谈的最后,Dr. Brunelli表示他喜欢做医学研究,很享受用自己的专业技能治愈病人,也正是对医生这个职业的热爱驱使他克服困难,坚守岗位,不断前进,最终成为一名出色的胸外科医生。

现场答疑

  1. You just give an excellent presentation about “Fast Track-enhanced recovery for MITS”, could you kindly summarize the main points for our readers?

  2. We learnt that you have rich experience in treating lung cancer by using Minimally Invasive Thoracic Surgery, could you kindly share this experience with our readers? (Any difficulties you ever met? And how to solve them?)

  3. How do you view the future of Minimally Invasive Thoracic Surgery? What will be the role of thoracic surgeons? Do you think that they will be replaced by robots one day in future?

  4. If they (the surgeons) would not be replaced, what kind of skills/competences do you think a surgeon should possess to do a successful surgery?

  5. What drives you to be an outstanding surgeon? Have you ever think that if you were not a doctor, what would you like to do?


采写编辑:张   燕,AME Publishing Company

视频编辑:麦雪芳,AME Publishing Company

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