About 内分泌外科手术

What Is 内分泌外科手术?

Endocrine surgery is a subspecialty of general surgery that focuses predominantly on diseases of the thyroid, 甲状旁腺, 还有肾上腺.

Though there has historically been a divide between medical and surgical approaches to disease management, the relatively new specialty of endocrine surgery merges technical expertise with a working knowledge of the physiologic changes associated with hormone excess and deficiency. In other words, it is inherently multidisciplinary in nature.

内分泌外科手术 Remains an Uncommon Specialty

There are approximately 200 active practitioners in the United States and an additional 100 abroad. Most of these individuals are faculty members at major universities and belong to one or both of the following professional societies:

• American Association of Endocrine Surgeons
• International Association of Endocrine Surgeons

由此得出, due to the relative scarcity of endocrine surgery expertise in many populated areas, the bulk of endocrine operations are performed by individuals without a specific interest in the field. 事实上, surgeons whose practice is made up of less than 25% endocrine procedures perform approximately 80% of all endocrine operations in the United States(1). This is despite the fact that superior outcomes are achieved when endocrine operations are performed by specialists(2, 3).

虽然许多人活跃, experienced endocrine surgeons are general surgeons who developed a specific interest in endocrine diseases and modeled their practices and research endeavors accordingly, the most recent generation of endocrine surgeons is comprised predominantly of individuals who have undergone formal subspecialty fellowship training in endocrine surgery.

For historical reasons, many established training programs exist in Europe and developed nations of the British Commonwealth(4). 截至2007年, the American Association of Endocrine Surgeons has developed a formalized curriculum and instituted a subspecialty fellowship match process(5).

观看视频: Getting Ready for 内分泌外科手术

1. Saunders BD, Wainess RM, Dimick JB, Doherty GM, Upchurch GR, Gauger PG. Who performs endocrine operations in the United States? 手术. 2003;134(6):924-31; discussion 931.

2. Sosa JA, Bowman HM, Tielsch JM, Powe NR, Gordon TA, Udelsman R. The importance of surgeon experience for clinical and economic outcomes from thyroidectomy. 安杂志. 1998;228(3):320-30.

3. Stavrakis AI, Ituarte P, Ko CY, Yeh MW. Surgeon volume as a predictor of outcomes in inpatient and outpatient endocrine surgery. 手术. 接受.

4. 戴尔布里奇L. Division of 手术, Royal North Shore Hospital, Sydney, Australia. 拱杂志. 2003;138(2):126.

5. Pasieka杰. Kindred spirits of the endocrines: the training of the future endocrine surgeons. J外科肿瘤科. 2005;89(3):202-5.