Surgical professionalism in the 21st century
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Abstract
During the past 50 years, techniques and results in surgery have advanced enormously. Heart and lung surgery is now routine and is becoming steadily less invasive. Stapling devices have improved the speed and reliability of gastrointestinal surgery, and minimally invasive techniques are routinely used in procedures ranging from adrenalectomy, through gastric bypass for obesity, to difficult hernia repairs. Glimpses of the future have included demonstrations of robotic surgery, 1 Purkayastha S Athanasiou T Casula R Darzi A Robotic surgery: a review. Hosp Med. 2004; 65: 153-159 Crossref PubMed Scopus (7) Google Scholar telesurgery, 2 Marescaux J Leroy J Gagner M et al. Transatlantic robot-assisted telesurgery. Nature. 2001; 413: 379-380 Crossref PubMed Scopus (706) Google Scholar and surgery augmented by simultaneous optical and MRI examination of the tissues. 3 Gould S Darzi A The magnetic resonance operating theatre. Br J Surg. 1997; 84: 595-597 Crossref PubMed Scopus (12) Google Scholar Parallel advances in supportive and anaesthetic care are allowing more ambitious procedures to be done in high-risk patients.
