Milestones in thoracic surgery

The general surgery milestones project.

Milestones in the Evolution of Hepatic Surgery

This paper describes the rapid evolution of modern liver surgery, starting in the middle of the twentieth century. Claude Couinaud studied and described the segmental anatomy of the liver, Thomas Starzl performed the first liver transplantations, and Henri Bismuth introduced the concept of anatomical resections. Hepatic surgery has developed significantly since those early days. To date, innova...

Milestones in surgery: 60 years of open heart surgery.

Long periods of experimental research signify the struggle for the goal to substitute the functions of heart and lungs by a machine. In 1931, John Heysham Gibbon, a young surgeon in Boston began animal experiments concentrating on this task. After almost 20 years he succeeded, in May 1953, he performed the first successful open heart operation using a heart-lung machine in the world in Philadel...

[Anesthesia in thoracic surgery].

Premedication must now be considered. It is desirable that the patient should be drowsy before the operation, but full basal narcosis is not always to be recommended, since it is important that the coughing reflex should have returned immediately after the operation, and, indeed, the patient should as a rule be able to cough voluntarily before leaving the table. If local analgesia only is conte...

Benchmarking in thoracic surgery.

OBJECTIVE Presentation of an experience in benchmarking in 13 university Spanish thoracic surgery services. METHODS The minimum basic data set (MBDS) for hospitalization, corresponding to 2007, including all registered hospital discharges, was used. The performance of the hospitals was compared using an external reference pattern (SN) and internal average (BMG). Cases were chosen in which a m...